National Provider Identifier [NPI]: |
1508952037 |
Last Name Of The Provider |
LAY |
First Name Of The Provider |
CATHY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3330 PTARMIGAN LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
HELENA |
Zip Code Of The Provider |
596020521 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
1450 |
Number Of Medicare Beneficiaries |
628 |
Total Submitted Charge Amount |
113433.7 |
Total Medicare Allowed Amount |
89441.88 |
Total Medicare Payment Amount |
59115.86 |
Total Medicare Standardized Payment Amount |
69508.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
45 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
840.03 |
Total Drug Medicare AllowedAmount |
343.36 |
Total Drug Medicare PaymentAmount |
330.61 |
Total Drug Medicare Standardized Payment Amount |
330.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1405 |
Number Of Medicare Beneficiaries With Medical Services |
628 |
Total Medical Submitted Charge Amount |
112593.67 |
Total Medical Medicare Allowed Amount |
89098.52 |
Total Medical Medicare Payment Amount |
58785.25 |
Total Medical Medicare Standardized Payment Amount |
69177.51 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
172 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
448 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
602 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
540 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0167 |