National Provider Identifier [NPI]: |
1659363745 |
Last Name Of The Provider |
HUYSER |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2609 GLENN HENDREN DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LIBERTY |
Zip Code Of The Provider |
640684205 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
5073 |
Number Of Medicare Beneficiaries |
710 |
Total Submitted Charge Amount |
456514.4 |
Total Medicare Allowed Amount |
306399.04 |
Total Medicare Payment Amount |
226624.71 |
Total Medicare Standardized Payment Amount |
232398.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
409 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
9494.4 |
Total Drug Medicare AllowedAmount |
7972.16 |
Total Drug Medicare PaymentAmount |
7189.81 |
Total Drug Medicare Standardized Payment Amount |
7189.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
4664 |
Number Of Medicare Beneficiaries With Medical Services |
710 |
Total Medical Submitted Charge Amount |
447020 |
Total Medical Medicare Allowed Amount |
298426.88 |
Total Medical Medicare Payment Amount |
219434.9 |
Total Medical Medicare Standardized Payment Amount |
225208.75 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
368 |
Number Of Male Beneficiaries |
342 |
Number Of Non Hispanic White Beneficiaries |
689 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
650 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2527 |