National Provider Identifier [NPI]: |
1922031285 |
Last Name Of The Provider |
CSIR |
First Name Of The Provider |
FLOYD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
311 WEST 24TH ST |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
ERIE |
Zip Code Of The Provider |
165022665 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
661 |
Number Of Medicare Beneficiaries |
395 |
Total Submitted Charge Amount |
97627 |
Total Medicare Allowed Amount |
53086.26 |
Total Medicare Payment Amount |
34837.59 |
Total Medicare Standardized Payment Amount |
36788.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
15338 |
Total Drug Medicare AllowedAmount |
12747.63 |
Total Drug Medicare PaymentAmount |
9608.61 |
Total Drug Medicare Standardized Payment Amount |
9608.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
598 |
Number Of Medicare Beneficiaries With Medical Services |
395 |
Total Medical Submitted Charge Amount |
82289 |
Total Medical Medicare Allowed Amount |
40338.63 |
Total Medical Medicare Payment Amount |
25228.98 |
Total Medical Medicare Standardized Payment Amount |
27180.21 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
151 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
109 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
365 |
Number Of Black or African American Beneficiaries |
17 |
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 |
292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3281 |