National Provider Identifier [NPI]: |
1760496467 |
Last Name Of The Provider |
RAYFORD |
First Name Of The Provider |
RICHARD |
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 |
971 LAKELAND DR STE 850 |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392164608 |
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 |
35 |
Number Of Services |
2732 |
Number Of Medicare Beneficiaries |
868 |
Total Submitted Charge Amount |
565244.34 |
Total Medicare Allowed Amount |
236751.96 |
Total Medicare Payment Amount |
177122.99 |
Total Medicare Standardized Payment Amount |
188006.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
248 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
29388 |
Total Drug Medicare AllowedAmount |
13135.48 |
Total Drug Medicare PaymentAmount |
10135.99 |
Total Drug Medicare Standardized Payment Amount |
10135.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2484 |
Number Of Medicare Beneficiaries With Medical Services |
868 |
Total Medical Submitted Charge Amount |
535856.34 |
Total Medical Medicare Allowed Amount |
223616.48 |
Total Medical Medicare Payment Amount |
166987 |
Total Medical Medicare Standardized Payment Amount |
177870.74 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
546 |
Number Of Male Beneficiaries |
322 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
461 |
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 |
539 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
329 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6704 |