National Provider Identifier [NPI]: |
1710944699 |
Last Name Of The Provider |
WALTON |
First Name Of The Provider |
BILLY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
903 MISSISSIPPI DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUPELO |
Zip Code Of The Provider |
388040928 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
3630 |
Number Of Medicare Beneficiaries |
409 |
Total Submitted Charge Amount |
190480 |
Total Medicare Allowed Amount |
133003.87 |
Total Medicare Payment Amount |
91402.81 |
Total Medicare Standardized Payment Amount |
104542.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
361 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
4499 |
Total Drug Medicare AllowedAmount |
3595.11 |
Total Drug Medicare PaymentAmount |
3375.58 |
Total Drug Medicare Standardized Payment Amount |
3375.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
3269 |
Number Of Medicare Beneficiaries With Medical Services |
409 |
Total Medical Submitted Charge Amount |
185981 |
Total Medical Medicare Allowed Amount |
129408.76 |
Total Medical Medicare Payment Amount |
88027.23 |
Total Medical Medicare Standardized Payment Amount |
101167.27 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
362 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9479 |