National Provider Identifier [NPI]: |
1821048059 |
Last Name Of The Provider |
CAYLOR |
First Name Of The Provider |
DUANE |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 LANGWORTHY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUBUQUE |
Zip Code Of The Provider |
520017313 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
1009 |
Number Of Medicare Beneficiaries |
376 |
Total Submitted Charge Amount |
72112.55 |
Total Medicare Allowed Amount |
36348.71 |
Total Medicare Payment Amount |
24850.98 |
Total Medicare Standardized Payment Amount |
27529.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
124 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
2159.6 |
Total Drug Medicare AllowedAmount |
1813.86 |
Total Drug Medicare PaymentAmount |
1760.8 |
Total Drug Medicare Standardized Payment Amount |
1760.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
885 |
Number Of Medicare Beneficiaries With Medical Services |
376 |
Total Medical Submitted Charge Amount |
69952.95 |
Total Medical Medicare Allowed Amount |
34534.85 |
Total Medical Medicare Payment Amount |
23090.18 |
Total Medical Medicare Standardized Payment Amount |
25768.29 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
224 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
362 |
Number Of Black or African American Beneficiaries |
|
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 |
233 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9663 |