National Provider Identifier [NPI]: |
1548356603 |
Last Name Of The Provider |
RAYALA |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
590 MANNING DR |
Street Address 2 Of The Provider |
UNC FAMILY MEDICINE CENTER |
City Of The Provider |
CHAPEL HILL |
Zip Code Of The Provider |
275997595 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
844 |
Number Of Medicare Beneficiaries |
367 |
Total Submitted Charge Amount |
170063 |
Total Medicare Allowed Amount |
58057.63 |
Total Medicare Payment Amount |
42212.45 |
Total Medicare Standardized Payment Amount |
45116.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
1067 |
Total Drug Medicare AllowedAmount |
585.22 |
Total Drug Medicare PaymentAmount |
571.59 |
Total Drug Medicare Standardized Payment Amount |
571.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
817 |
Number Of Medicare Beneficiaries With Medical Services |
367 |
Total Medical Submitted Charge Amount |
168996 |
Total Medical Medicare Allowed Amount |
57472.41 |
Total Medical Medicare Payment Amount |
41640.86 |
Total Medical Medicare Standardized Payment Amount |
44545.24 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
174 |
Number Of Non Hispanic White Beneficiaries |
244 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
246 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7238 |