National Provider Identifier [NPI]: |
1508066911 |
Last Name Of The Provider |
MAY |
First Name Of The Provider |
BYRON |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 NORTH STATE STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
39216 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
216 |
Number Of Services |
15536 |
Number Of Medicare Beneficiaries |
3464 |
Total Submitted Charge Amount |
954134.62 |
Total Medicare Allowed Amount |
258620.77 |
Total Medicare Payment Amount |
199148.88 |
Total Medicare Standardized Payment Amount |
214848.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
10323 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
21127.3 |
Total Drug Medicare AllowedAmount |
2986.15 |
Total Drug Medicare PaymentAmount |
2340.7 |
Total Drug Medicare Standardized Payment Amount |
2340.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
210 |
Number Of Medical Services |
5213 |
Number Of Medicare Beneficiaries With Medical Services |
3463 |
Total Medical Submitted Charge Amount |
933007.32 |
Total Medical Medicare Allowed Amount |
255634.62 |
Total Medical Medicare Payment Amount |
196808.18 |
Total Medical Medicare Standardized Payment Amount |
212508.17 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
815 |
Number Of Beneficiaries Age 65 to 74 |
1300 |
Number Of Beneficiaries Age 75 to 84 |
875 |
Number Of Beneficiaries Age Greater 84 |
474 |
Number Of Female Beneficiaries |
2095 |
Number Of Male Beneficiaries |
1369 |
Number Of Non Hispanic White Beneficiaries |
2125 |
Number Of Black or African American Beneficiaries |
1233 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
2150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1314 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8868 |