National Provider Identifier [NPI]: |
1922033927 |
Last Name Of The Provider |
BOYD |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
497 AZALEA DR |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
OXFORD |
Zip Code Of The Provider |
386557905 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
15581 |
Number Of Medicare Beneficiaries |
939 |
Total Submitted Charge Amount |
1495516 |
Total Medicare Allowed Amount |
531436.04 |
Total Medicare Payment Amount |
395195.4 |
Total Medicare Standardized Payment Amount |
431040.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11127 |
Number Of Medicare Beneficiaries With Drug Services |
455 |
Total Drug Submitted ChargeAmount |
166964 |
Total Drug Medicare AllowedAmount |
115753.01 |
Total Drug Medicare PaymentAmount |
89981.36 |
Total Drug Medicare Standardized Payment Amount |
89981.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
147 |
Number Of Medical Services |
4454 |
Number Of Medicare Beneficiaries With Medical Services |
939 |
Total Medical Submitted Charge Amount |
1328552 |
Total Medical Medicare Allowed Amount |
415683.03 |
Total Medical Medicare Payment Amount |
305214.04 |
Total Medical Medicare Standardized Payment Amount |
341058.66 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
410 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
593 |
Number Of Male Beneficiaries |
346 |
Number Of Non Hispanic White Beneficiaries |
737 |
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 |
693 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
246 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0152 |