National Provider Identifier [NPI]: |
1649481607 |
Last Name Of The Provider |
TAYLOR |
First Name Of The Provider |
JASON |
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 |
106 HIGHLAND WAY STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
391106933 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
9431 |
Number Of Medicare Beneficiaries |
939 |
Total Submitted Charge Amount |
474752 |
Total Medicare Allowed Amount |
292263.13 |
Total Medicare Payment Amount |
209121.3 |
Total Medicare Standardized Payment Amount |
224519.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
6283 |
Number Of Medicare Beneficiaries With Drug Services |
364 |
Total Drug Submitted ChargeAmount |
133270 |
Total Drug Medicare AllowedAmount |
77589.37 |
Total Drug Medicare PaymentAmount |
60296.85 |
Total Drug Medicare Standardized Payment Amount |
60296.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
3148 |
Number Of Medicare Beneficiaries With Medical Services |
939 |
Total Medical Submitted Charge Amount |
341482 |
Total Medical Medicare Allowed Amount |
214673.76 |
Total Medical Medicare Payment Amount |
148824.45 |
Total Medical Medicare Standardized Payment Amount |
164222.65 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
265 |
Number Of Beneficiaries Age 65 to 74 |
373 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
733 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
613 |
Number Of Black or African American Beneficiaries |
309 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
678 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.245 |