National Provider Identifier [NPI]: |
1467440727 |
Last Name Of The Provider |
NAYLOR |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
910 W 5TH AVE |
Street Address 2 Of The Provider |
STE 1001 |
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992042966 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
2455 |
Number Of Medicare Beneficiaries |
859 |
Total Submitted Charge Amount |
564745.26 |
Total Medicare Allowed Amount |
199077.82 |
Total Medicare Payment Amount |
148202.33 |
Total Medicare Standardized Payment Amount |
150959.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
375 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
1094.18 |
Total Drug Medicare AllowedAmount |
413.9 |
Total Drug Medicare PaymentAmount |
392.43 |
Total Drug Medicare Standardized Payment Amount |
392.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
2080 |
Number Of Medicare Beneficiaries With Medical Services |
859 |
Total Medical Submitted Charge Amount |
563651.08 |
Total Medical Medicare Allowed Amount |
198663.92 |
Total Medical Medicare Payment Amount |
147809.9 |
Total Medical Medicare Standardized Payment Amount |
150567.18 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
356 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
477 |
Number Of Non Hispanic White Beneficiaries |
796 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
673 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7362 |