National Provider Identifier [NPI]: |
1902963143 |
Last Name Of The Provider |
HAYES |
First Name Of The Provider |
ANNE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
509 HAMMILL LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895111004 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
5527 |
Number Of Medicare Beneficiaries |
812 |
Total Submitted Charge Amount |
364223 |
Total Medicare Allowed Amount |
232678.22 |
Total Medicare Payment Amount |
171452.26 |
Total Medicare Standardized Payment Amount |
167169.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
170 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
850 |
Total Drug Medicare AllowedAmount |
295.16 |
Total Drug Medicare PaymentAmount |
199.23 |
Total Drug Medicare Standardized Payment Amount |
199.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5357 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
363373 |
Total Medical Medicare Allowed Amount |
232383.06 |
Total Medical Medicare Payment Amount |
171253.03 |
Total Medical Medicare Standardized Payment Amount |
166970.1 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
421 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
531 |
Number Of Male Beneficiaries |
281 |
Number Of Non Hispanic White Beneficiaries |
777 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.7781 |