National Provider Identifier [NPI]: |
1487686374 |
Last Name Of The Provider |
DAILY |
First Name Of The Provider |
PATRICK |
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 |
1421 N STATE ST |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392021658 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
126 |
Number Of Services |
13430 |
Number Of Medicare Beneficiaries |
1400 |
Total Submitted Charge Amount |
1853059 |
Total Medicare Allowed Amount |
600306.55 |
Total Medicare Payment Amount |
450417.47 |
Total Medicare Standardized Payment Amount |
486173.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
7186 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
323186 |
Total Drug Medicare AllowedAmount |
156657.55 |
Total Drug Medicare PaymentAmount |
120606.77 |
Total Drug Medicare Standardized Payment Amount |
120606.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
6244 |
Number Of Medicare Beneficiaries With Medical Services |
1400 |
Total Medical Submitted Charge Amount |
1529873 |
Total Medical Medicare Allowed Amount |
443649 |
Total Medical Medicare Payment Amount |
329810.7 |
Total Medical Medicare Standardized Payment Amount |
365566.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
753 |
Number Of Beneficiaries Age 75 to 84 |
418 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
249 |
Number Of Male Beneficiaries |
1151 |
Number Of Non Hispanic White Beneficiaries |
1178 |
Number Of Black or African American Beneficiaries |
195 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1300 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9681 |