National Provider Identifier [NPI]: |
1508835695 |
Last Name Of The Provider |
HAYT |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1295 ORANGE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINTER PARK |
Zip Code Of The Provider |
32789 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
18148 |
Number Of Medicare Beneficiaries |
2004 |
Total Submitted Charge Amount |
2845091.4 |
Total Medicare Allowed Amount |
435896.02 |
Total Medicare Payment Amount |
333320.92 |
Total Medicare Standardized Payment Amount |
340998.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
14853 |
Number Of Medicare Beneficiaries With Drug Services |
477 |
Total Drug Submitted ChargeAmount |
130039 |
Total Drug Medicare AllowedAmount |
10449.99 |
Total Drug Medicare PaymentAmount |
8111.34 |
Total Drug Medicare Standardized Payment Amount |
8111.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
3295 |
Number Of Medicare Beneficiaries With Medical Services |
2000 |
Total Medical Submitted Charge Amount |
2715052.4 |
Total Medical Medicare Allowed Amount |
425446.03 |
Total Medical Medicare Payment Amount |
325209.58 |
Total Medical Medicare Standardized Payment Amount |
332887.35 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
942 |
Number Of Beneficiaries Age 75 to 84 |
616 |
Number Of Beneficiaries Age Greater 84 |
184 |
Number Of Female Beneficiaries |
1164 |
Number Of Male Beneficiaries |
840 |
Number Of Non Hispanic White Beneficiaries |
1601 |
Number Of Black or African American Beneficiaries |
167 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
163 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
1792 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0895 |