| National Provider Identifier [NPI]: | 1053334797 |
| Last Name Of The Provider | TAYLOR |
| First Name Of The Provider | PHILIP |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D., FACP |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3250 GORDONVILLE RD |
| Street Address 2 Of The Provider | STE 301 |
| City Of The Provider | CAPE GIRARDEAU |
| Zip Code Of The Provider | 637035056 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Rheumatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 55 |
| Number Of Services | 4957 |
| Number Of Medicare Beneficiaries | 2393 |
| Total Submitted Charge Amount | 581385 |
| Total Medicare Allowed Amount | 170564.04 |
| Total Medicare Payment Amount | 124997.4 |
| Total Medicare Standardized Payment Amount | 134089.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 12 |
| Number Of Drug Services | 686 |
| Number Of Medicare Beneficiaries With Drug Services | 152 |
| Total Drug Submitted ChargeAmount | 47531 |
| Total Drug Medicare AllowedAmount | 13108.82 |
| Total Drug Medicare PaymentAmount | 12522.63 |
| Total Drug Medicare Standardized Payment Amount | 12522.63 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 43 |
| Number Of Medical Services | 4271 |
| Number Of Medicare Beneficiaries With Medical Services | 2393 |
| Total Medical Submitted Charge Amount | 533854 |
| Total Medical Medicare Allowed Amount | 157455.22 |
| Total Medical Medicare Payment Amount | 112474.77 |
| Total Medical Medicare Standardized Payment Amount | 121566.75 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 479 |
| Number Of Beneficiaries Age 65 to 74 | 859 |
| Number Of Beneficiaries Age 75 to 84 | 712 |
| Number Of Beneficiaries Age Greater 84 | 343 |
| Number Of Female Beneficiaries | 1525 |
| Number Of Male Beneficiaries | 868 |
| Number Of Non Hispanic White Beneficiaries | 2223 |
| Number Of Black or African American Beneficiaries | 140 |
| 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 | 12 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1687 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 706 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 34 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4764 |