National Provider Identifier [NPI]: |
1902073836 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
BENJAMIN |
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 |
11134 N STATE ROAD 77 |
Street Address 2 Of The Provider |
ESSENTIA HEALTH HAYWARD CLINIC |
City Of The Provider |
HAYWARD |
Zip Code Of The Provider |
548435325 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
3664 |
Number Of Medicare Beneficiaries |
468 |
Total Submitted Charge Amount |
332691.5 |
Total Medicare Allowed Amount |
112086.6 |
Total Medicare Payment Amount |
84529.64 |
Total Medicare Standardized Payment Amount |
86946.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
843 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
21762 |
Total Drug Medicare AllowedAmount |
9724.88 |
Total Drug Medicare PaymentAmount |
8134.24 |
Total Drug Medicare Standardized Payment Amount |
8134.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
2821 |
Number Of Medicare Beneficiaries With Medical Services |
468 |
Total Medical Submitted Charge Amount |
310929.5 |
Total Medical Medicare Allowed Amount |
102361.72 |
Total Medical Medicare Payment Amount |
76395.4 |
Total Medical Medicare Standardized Payment Amount |
78811.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
422 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
34 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3936 |