National Provider Identifier [NPI]: |
1770526568 |
Last Name Of The Provider |
GUYNES |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
970 LAKELAND DR |
Street Address 2 Of The Provider |
SUITE 61 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392164635 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
13107 |
Number Of Medicare Beneficiaries |
1832 |
Total Submitted Charge Amount |
1663216.5 |
Total Medicare Allowed Amount |
487712.3 |
Total Medicare Payment Amount |
361875.27 |
Total Medicare Standardized Payment Amount |
390724.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
6047 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
19165 |
Total Drug Medicare AllowedAmount |
12519.3 |
Total Drug Medicare PaymentAmount |
9814.98 |
Total Drug Medicare Standardized Payment Amount |
9814.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
7060 |
Number Of Medicare Beneficiaries With Medical Services |
1832 |
Total Medical Submitted Charge Amount |
1644051.5 |
Total Medical Medicare Allowed Amount |
475193 |
Total Medical Medicare Payment Amount |
352060.29 |
Total Medical Medicare Standardized Payment Amount |
380909.94 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
731 |
Number Of Beneficiaries Age 75 to 84 |
627 |
Number Of Beneficiaries Age Greater 84 |
252 |
Number Of Female Beneficiaries |
937 |
Number Of Male Beneficiaries |
895 |
Number Of Non Hispanic White Beneficiaries |
1457 |
Number Of Black or African American Beneficiaries |
357 |
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 |
1441 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
391 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.4554 |