National Provider Identifier [NPI]: |
1508179334 |
Last Name Of The Provider |
LAY |
First Name Of The Provider |
STEPHANIE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2007 PALM BEACH LAKES BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
33409 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
1676 |
Number Of Medicare Beneficiaries |
759 |
Total Submitted Charge Amount |
252291.39 |
Total Medicare Allowed Amount |
120504.02 |
Total Medicare Payment Amount |
82906.66 |
Total Medicare Standardized Payment Amount |
78747.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
101 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
6087 |
Total Drug Medicare AllowedAmount |
1937.91 |
Total Drug Medicare PaymentAmount |
1549 |
Total Drug Medicare Standardized Payment Amount |
1549 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
1575 |
Number Of Medicare Beneficiaries With Medical Services |
759 |
Total Medical Submitted Charge Amount |
246204.39 |
Total Medical Medicare Allowed Amount |
118566.11 |
Total Medical Medicare Payment Amount |
81357.66 |
Total Medical Medicare Standardized Payment Amount |
77198.5 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
473 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
691 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
716 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.123 |