National Provider Identifier [NPI]: |
1386641983 |
Last Name Of The Provider |
LYONS |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
960 E WALNUT LAWN |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
65807 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
7544 |
Number Of Medicare Beneficiaries |
956 |
Total Submitted Charge Amount |
379619.44 |
Total Medicare Allowed Amount |
174119.15 |
Total Medicare Payment Amount |
129913.13 |
Total Medicare Standardized Payment Amount |
139256.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
685 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
31092 |
Total Drug Medicare AllowedAmount |
13976.25 |
Total Drug Medicare PaymentAmount |
11104.04 |
Total Drug Medicare Standardized Payment Amount |
11104.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
6859 |
Number Of Medicare Beneficiaries With Medical Services |
956 |
Total Medical Submitted Charge Amount |
348527.44 |
Total Medical Medicare Allowed Amount |
160142.9 |
Total Medical Medicare Payment Amount |
118809.09 |
Total Medical Medicare Standardized Payment Amount |
128152.11 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
650 |
Number Of Male Beneficiaries |
306 |
Number Of Non Hispanic White Beneficiaries |
928 |
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 |
843 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2275 |