National Provider Identifier [NPI]: |
1588788830 |
Last Name Of The Provider |
DAY |
First Name Of The Provider |
SHELLEY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 W 38TH ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787051167 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4894 |
Number Of Medicare Beneficiaries |
551 |
Total Submitted Charge Amount |
2354470 |
Total Medicare Allowed Amount |
1050172.46 |
Total Medicare Payment Amount |
793695.47 |
Total Medicare Standardized Payment Amount |
802753.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1232 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
1406610 |
Total Drug Medicare AllowedAmount |
686212.3 |
Total Drug Medicare PaymentAmount |
524573.75 |
Total Drug Medicare Standardized Payment Amount |
524573.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
3662 |
Number Of Medicare Beneficiaries With Medical Services |
550 |
Total Medical Submitted Charge Amount |
947860 |
Total Medical Medicare Allowed Amount |
363960.16 |
Total Medical Medicare Payment Amount |
269121.72 |
Total Medical Medicare Standardized Payment Amount |
278179.99 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
331 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
428 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
79 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
466 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3211 |