National Provider Identifier [NPI]: |
1538125166 |
Last Name Of The Provider |
MCINTYRE |
First Name Of The Provider |
FLOYD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
76 AIRLINE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH DENNIS |
Zip Code Of The Provider |
02660 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1707 |
Number Of Medicare Beneficiaries |
339 |
Total Submitted Charge Amount |
208541.16 |
Total Medicare Allowed Amount |
131788.64 |
Total Medicare Payment Amount |
90671.11 |
Total Medicare Standardized Payment Amount |
95504.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
143 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
5085 |
Total Drug Medicare AllowedAmount |
1538.74 |
Total Drug Medicare PaymentAmount |
1471.5 |
Total Drug Medicare Standardized Payment Amount |
1471.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1564 |
Number Of Medicare Beneficiaries With Medical Services |
339 |
Total Medical Submitted Charge Amount |
203456.16 |
Total Medical Medicare Allowed Amount |
130249.9 |
Total Medical Medicare Payment Amount |
89199.61 |
Total Medical Medicare Standardized Payment Amount |
94032.56 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
324 |
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 |
306 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8571 |