National Provider Identifier [NPI]: |
1932176344 |
Last Name Of The Provider |
THU |
First Name Of The Provider |
KYAW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5200 BABCOCK ST NE |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
PALM BAY |
Zip Code Of The Provider |
329054612 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
6845 |
Number Of Medicare Beneficiaries |
450 |
Total Submitted Charge Amount |
425154.48 |
Total Medicare Allowed Amount |
281038.05 |
Total Medicare Payment Amount |
213581.86 |
Total Medicare Standardized Payment Amount |
215995.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
232 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
3958 |
Total Drug Medicare AllowedAmount |
939.33 |
Total Drug Medicare PaymentAmount |
839.1 |
Total Drug Medicare Standardized Payment Amount |
839.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
6613 |
Number Of Medicare Beneficiaries With Medical Services |
450 |
Total Medical Submitted Charge Amount |
421196.48 |
Total Medical Medicare Allowed Amount |
280098.72 |
Total Medical Medicare Payment Amount |
212742.76 |
Total Medical Medicare Standardized Payment Amount |
215156.04 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
256 |
Number Of Male Beneficiaries |
194 |
Number Of Non Hispanic White Beneficiaries |
250 |
Number Of Black or African American Beneficiaries |
135 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2858 |