National Provider Identifier [NPI]: |
1942242797 |
Last Name Of The Provider |
MEYER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 BROOKFIELD RD |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381190802 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
16158 |
Number Of Medicare Beneficiaries |
2069 |
Total Submitted Charge Amount |
2740311.49 |
Total Medicare Allowed Amount |
1050502.13 |
Total Medicare Payment Amount |
787522.45 |
Total Medicare Standardized Payment Amount |
861898.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5527 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
185360.49 |
Total Drug Medicare AllowedAmount |
166741.59 |
Total Drug Medicare PaymentAmount |
130725.22 |
Total Drug Medicare Standardized Payment Amount |
130725.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
10631 |
Number Of Medicare Beneficiaries With Medical Services |
2069 |
Total Medical Submitted Charge Amount |
2554951 |
Total Medical Medicare Allowed Amount |
883760.54 |
Total Medical Medicare Payment Amount |
656797.23 |
Total Medical Medicare Standardized Payment Amount |
731173.44 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
230 |
Number Of Beneficiaries Age 65 to 74 |
760 |
Number Of Beneficiaries Age 75 to 84 |
739 |
Number Of Beneficiaries Age Greater 84 |
340 |
Number Of Female Beneficiaries |
1263 |
Number Of Male Beneficiaries |
806 |
Number Of Non Hispanic White Beneficiaries |
1811 |
Number Of Black or African American Beneficiaries |
231 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1653 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
416 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2581 |