National Provider Identifier [NPI]: |
1942230859 |
Last Name Of The Provider |
DYSON |
First Name Of The Provider |
SENAIT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2141 N BEVERLY AVE |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857122155 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
5760 |
Number Of Medicare Beneficiaries |
995 |
Total Submitted Charge Amount |
808533.01 |
Total Medicare Allowed Amount |
355030.83 |
Total Medicare Payment Amount |
265180.99 |
Total Medicare Standardized Payment Amount |
255178.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
6054.56 |
Total Drug Medicare AllowedAmount |
5507.52 |
Total Drug Medicare PaymentAmount |
4297.42 |
Total Drug Medicare Standardized Payment Amount |
4297.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
5648 |
Number Of Medicare Beneficiaries With Medical Services |
995 |
Total Medical Submitted Charge Amount |
802478.45 |
Total Medical Medicare Allowed Amount |
349523.31 |
Total Medical Medicare Payment Amount |
260883.57 |
Total Medical Medicare Standardized Payment Amount |
250881.22 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
477 |
Number Of Beneficiaries Age 75 to 84 |
361 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
571 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
938 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
982 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8766 |