National Provider Identifier [NPI]: |
1023023181 |
Last Name Of The Provider |
HAYDON |
First Name Of The Provider |
SYBIL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6835 AUSTIN CENTER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787313166 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
3211 |
Number Of Medicare Beneficiaries |
1410 |
Total Submitted Charge Amount |
326076 |
Total Medicare Allowed Amount |
194154.79 |
Total Medicare Payment Amount |
189644.99 |
Total Medicare Standardized Payment Amount |
215793.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
258 |
Number Of Medicare Beneficiaries With Drug Services |
231 |
Total Drug Submitted ChargeAmount |
22632 |
Total Drug Medicare AllowedAmount |
14092.35 |
Total Drug Medicare PaymentAmount |
13515.01 |
Total Drug Medicare Standardized Payment Amount |
13515.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2953 |
Number Of Medicare Beneficiaries With Medical Services |
1410 |
Total Medical Submitted Charge Amount |
303444 |
Total Medical Medicare Allowed Amount |
180062.44 |
Total Medical Medicare Payment Amount |
176129.98 |
Total Medical Medicare Standardized Payment Amount |
202278.88 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
777 |
Number Of Beneficiaries Age 75 to 84 |
415 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
859 |
Number Of Male Beneficiaries |
551 |
Number Of Non Hispanic White Beneficiaries |
1134 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
109 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1329 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8052 |