National Provider Identifier [NPI]: |
1922038413 |
Last Name Of The Provider |
SEYMOUR |
First Name Of The Provider |
ZACHARY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
803 N FANT ST |
Street Address 2 Of The Provider |
SUITE 2 B |
City Of The Provider |
ANDERSON |
Zip Code Of The Provider |
296215700 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
6955 |
Number Of Medicare Beneficiaries |
1247 |
Total Submitted Charge Amount |
403358.18 |
Total Medicare Allowed Amount |
358473.15 |
Total Medicare Payment Amount |
266393.28 |
Total Medicare Standardized Payment Amount |
247277.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
317 |
Number Of Medicare Beneficiaries With Drug Services |
279 |
Total Drug Submitted ChargeAmount |
8783.4 |
Total Drug Medicare AllowedAmount |
2407.21 |
Total Drug Medicare PaymentAmount |
2331.07 |
Total Drug Medicare Standardized Payment Amount |
2331.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
6638 |
Number Of Medicare Beneficiaries With Medical Services |
1247 |
Total Medical Submitted Charge Amount |
394574.78 |
Total Medical Medicare Allowed Amount |
356065.94 |
Total Medical Medicare Payment Amount |
264062.21 |
Total Medical Medicare Standardized Payment Amount |
244946.35 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
475 |
Number Of Beneficiaries Age Greater 84 |
312 |
Number Of Female Beneficiaries |
739 |
Number Of Male Beneficiaries |
508 |
Number Of Non Hispanic White Beneficiaries |
1147 |
Number Of Black or African American Beneficiaries |
89 |
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 |
1109 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.4905 |