National Provider Identifier [NPI]: |
1740380427 |
Last Name Of The Provider |
SILVIS |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5155 E FARNESS DR |
Street Address 2 Of The Provider |
SUITE 111B |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857122158 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
6424 |
Number Of Medicare Beneficiaries |
823 |
Total Submitted Charge Amount |
448357 |
Total Medicare Allowed Amount |
337100.38 |
Total Medicare Payment Amount |
244775.59 |
Total Medicare Standardized Payment Amount |
241495.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
6424 |
Number Of Medicare Beneficiaries With Medical Services |
823 |
Total Medical Submitted Charge Amount |
448357 |
Total Medical Medicare Allowed Amount |
337100.38 |
Total Medical Medicare Payment Amount |
244775.59 |
Total Medical Medicare Standardized Payment Amount |
241495.84 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
320 |
Number Of Beneficiaries Age 75 to 84 |
372 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
308 |
Number Of Non Hispanic White Beneficiaries |
799 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
806 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8715 |