National Provider Identifier [NPI]: |
1104857697 |
Last Name Of The Provider |
BOYTIM |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 SAVANNAH RD |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
LEWES |
Zip Code Of The Provider |
199581550 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
2771 |
Number Of Medicare Beneficiaries |
494 |
Total Submitted Charge Amount |
1153680 |
Total Medicare Allowed Amount |
261772.96 |
Total Medicare Payment Amount |
200110.04 |
Total Medicare Standardized Payment Amount |
196054.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
570 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
45922 |
Total Drug Medicare AllowedAmount |
32883.01 |
Total Drug Medicare PaymentAmount |
25662.76 |
Total Drug Medicare Standardized Payment Amount |
25662.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
2201 |
Number Of Medicare Beneficiaries With Medical Services |
494 |
Total Medical Submitted Charge Amount |
1107758 |
Total Medical Medicare Allowed Amount |
228889.95 |
Total Medical Medicare Payment Amount |
174447.28 |
Total Medical Medicare Standardized Payment Amount |
170391.66 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
252 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
301 |
Number Of Male Beneficiaries |
193 |
Number Of Non Hispanic White Beneficiaries |
461 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
432 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1158 |