National Provider Identifier [NPI]: |
1407810799 |
Last Name Of The Provider |
SAWYER |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 CENTRE POINTE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TALLAHASSEE |
Zip Code Of The Provider |
32308 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
8444 |
Number Of Medicare Beneficiaries |
835 |
Total Submitted Charge Amount |
779821.8 |
Total Medicare Allowed Amount |
306027.48 |
Total Medicare Payment Amount |
229488.79 |
Total Medicare Standardized Payment Amount |
230789.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
4830 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
147556.68 |
Total Drug Medicare AllowedAmount |
81784.83 |
Total Drug Medicare PaymentAmount |
62674.41 |
Total Drug Medicare Standardized Payment Amount |
62674.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
3614 |
Number Of Medicare Beneficiaries With Medical Services |
835 |
Total Medical Submitted Charge Amount |
632265.12 |
Total Medical Medicare Allowed Amount |
224242.65 |
Total Medical Medicare Payment Amount |
166814.38 |
Total Medical Medicare Standardized Payment Amount |
168114.87 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
275 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
575 |
Number Of Non Hispanic White Beneficiaries |
715 |
Number Of Black or African American Beneficiaries |
100 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
723 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2534 |