National Provider Identifier [NPI]: |
1457589079 |
Last Name Of The Provider |
MAYS |
First Name Of The Provider |
ADRIENNE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 1500 |
City Of The Provider |
HUNTINGTON |
Zip Code Of The Provider |
257013656 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
928 |
Number Of Medicare Beneficiaries |
342 |
Total Submitted Charge Amount |
128003 |
Total Medicare Allowed Amount |
71929.17 |
Total Medicare Payment Amount |
51280.74 |
Total Medicare Standardized Payment Amount |
54318.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
820 |
Total Drug Medicare AllowedAmount |
489.54 |
Total Drug Medicare PaymentAmount |
448.31 |
Total Drug Medicare Standardized Payment Amount |
448.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
914 |
Number Of Medicare Beneficiaries With Medical Services |
342 |
Total Medical Submitted Charge Amount |
127183 |
Total Medical Medicare Allowed Amount |
71439.63 |
Total Medical Medicare Payment Amount |
50832.43 |
Total Medical Medicare Standardized Payment Amount |
53870.09 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
190 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
320 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
138 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.584 |