National Provider Identifier [NPI]: |
1760430797 |
Last Name Of The Provider |
BYRD |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1725 W HARRISON ST |
Street Address 2 Of The Provider |
SUITE 456 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606123841 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
3630 |
Number Of Medicare Beneficiaries |
988 |
Total Submitted Charge Amount |
837251 |
Total Medicare Allowed Amount |
125210.59 |
Total Medicare Payment Amount |
96445.05 |
Total Medicare Standardized Payment Amount |
93992.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2211 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
19652 |
Total Drug Medicare AllowedAmount |
3154.26 |
Total Drug Medicare PaymentAmount |
2428.26 |
Total Drug Medicare Standardized Payment Amount |
2428.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
1419 |
Number Of Medicare Beneficiaries With Medical Services |
988 |
Total Medical Submitted Charge Amount |
817599 |
Total Medical Medicare Allowed Amount |
122056.33 |
Total Medical Medicare Payment Amount |
94016.79 |
Total Medical Medicare Standardized Payment Amount |
91563.79 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
264 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
595 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
412 |
Number Of Black or African American Beneficiaries |
403 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
143 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
571 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
417 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
2.0545 |