National Provider Identifier [NPI]: |
1174589410 |
Last Name Of The Provider |
SAYLOR |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2337 HOMER CLAYTON DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GUNTERSVILLE |
Zip Code Of The Provider |
35976 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
12641 |
Number Of Medicare Beneficiaries |
1205 |
Total Submitted Charge Amount |
752658.89 |
Total Medicare Allowed Amount |
516544.17 |
Total Medicare Payment Amount |
373968.42 |
Total Medicare Standardized Payment Amount |
411104.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
5522 |
Number Of Medicare Beneficiaries With Drug Services |
586 |
Total Drug Submitted ChargeAmount |
67629.95 |
Total Drug Medicare AllowedAmount |
27510.45 |
Total Drug Medicare PaymentAmount |
20884.51 |
Total Drug Medicare Standardized Payment Amount |
20884.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
7119 |
Number Of Medicare Beneficiaries With Medical Services |
1205 |
Total Medical Submitted Charge Amount |
685028.94 |
Total Medical Medicare Allowed Amount |
489033.72 |
Total Medical Medicare Payment Amount |
353083.91 |
Total Medical Medicare Standardized Payment Amount |
390220.39 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
487 |
Number Of Beneficiaries Age 75 to 84 |
395 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
709 |
Number Of Male Beneficiaries |
496 |
Number Of Non Hispanic White Beneficiaries |
1175 |
Number Of Black or African American Beneficiaries |
17 |
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 |
932 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
273 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.2926 |