National Provider Identifier [NPI]: |
1902842636 |
Last Name Of The Provider |
SAYLOR |
First Name Of The Provider |
LYLE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7253 AMBASSADOR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212442710 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
158 |
Number Of Services |
40990 |
Number Of Medicare Beneficiaries |
4687 |
Total Submitted Charge Amount |
1795698.76 |
Total Medicare Allowed Amount |
513266.66 |
Total Medicare Payment Amount |
385552.5 |
Total Medicare Standardized Payment Amount |
367180.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
34715 |
Number Of Medicare Beneficiaries With Drug Services |
352 |
Total Drug Submitted ChargeAmount |
9164.35 |
Total Drug Medicare AllowedAmount |
7207.86 |
Total Drug Medicare PaymentAmount |
5137.93 |
Total Drug Medicare Standardized Payment Amount |
5137.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
6275 |
Number Of Medicare Beneficiaries With Medical Services |
4687 |
Total Medical Submitted Charge Amount |
1786534.41 |
Total Medical Medicare Allowed Amount |
506058.8 |
Total Medical Medicare Payment Amount |
380414.57 |
Total Medical Medicare Standardized Payment Amount |
362042.94 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
545 |
Number Of Beneficiaries Age 65 to 74 |
1946 |
Number Of Beneficiaries Age 75 to 84 |
1418 |
Number Of Beneficiaries Age Greater 84 |
778 |
Number Of Female Beneficiaries |
3001 |
Number Of Male Beneficiaries |
1686 |
Number Of Non Hispanic White Beneficiaries |
4023 |
Number Of Black or African American Beneficiaries |
504 |
Number Of AsianPacific Islander Beneficiaries |
64 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
57 |
Number Of Beneficiaries With Medicare Only Entitlement |
4149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
538 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4161 |