National Provider Identifier [NPI]: |
1922066885 |
Last Name Of The Provider |
BOYD |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 ESSEX DR |
Street Address 2 Of The Provider |
INTERNAL MEDICINE |
City Of The Provider |
PEABODY |
Zip Code Of The Provider |
019602902 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
4379 |
Number Of Medicare Beneficiaries |
666 |
Total Submitted Charge Amount |
156412 |
Total Medicare Allowed Amount |
109268.61 |
Total Medicare Payment Amount |
92995.1 |
Total Medicare Standardized Payment Amount |
92800.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
554 |
Number Of Medicare Beneficiaries With Drug Services |
491 |
Total Drug Submitted ChargeAmount |
30093 |
Total Drug Medicare AllowedAmount |
17223.8 |
Total Drug Medicare PaymentAmount |
16780.8 |
Total Drug Medicare Standardized Payment Amount |
16780.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
3825 |
Number Of Medicare Beneficiaries With Medical Services |
666 |
Total Medical Submitted Charge Amount |
126319 |
Total Medical Medicare Allowed Amount |
92044.81 |
Total Medical Medicare Payment Amount |
76214.3 |
Total Medical Medicare Standardized Payment Amount |
76020.14 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
344 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
390 |
Number Of Male Beneficiaries |
276 |
Number Of Non Hispanic White Beneficiaries |
628 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
634 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8966 |