National Provider Identifier [NPI]: |
1548210248 |
Last Name Of The Provider |
BYARLAY |
First Name Of The Provider |
JEAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1907 W MORRIS BLVD |
Street Address 2 Of The Provider |
STE G HEALTHSTAR PHYSICIANS |
City Of The Provider |
MORRISTOWN |
Zip Code Of The Provider |
37813 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
5096 |
Number Of Medicare Beneficiaries |
574 |
Total Submitted Charge Amount |
500311 |
Total Medicare Allowed Amount |
219516.47 |
Total Medicare Payment Amount |
155245.66 |
Total Medicare Standardized Payment Amount |
176610.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
395 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
17650 |
Total Drug Medicare AllowedAmount |
9148.88 |
Total Drug Medicare PaymentAmount |
6680.09 |
Total Drug Medicare Standardized Payment Amount |
6680.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
4701 |
Number Of Medicare Beneficiaries With Medical Services |
574 |
Total Medical Submitted Charge Amount |
482661 |
Total Medical Medicare Allowed Amount |
210367.59 |
Total Medical Medicare Payment Amount |
148565.57 |
Total Medical Medicare Standardized Payment Amount |
169930.04 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
259 |
Number Of Male Beneficiaries |
315 |
Number Of Non Hispanic White Beneficiaries |
562 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0231 |