National Provider Identifier [NPI]: |
1528026317 |
Last Name Of The Provider |
WEYN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 E DIXIE AVE |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347487601 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
207 |
Number Of Services |
58684 |
Number Of Medicare Beneficiaries |
7562 |
Total Submitted Charge Amount |
2789062 |
Total Medicare Allowed Amount |
1336460.89 |
Total Medicare Payment Amount |
1064868.46 |
Total Medicare Standardized Payment Amount |
1083799.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
46653 |
Number Of Medicare Beneficiaries With Drug Services |
763 |
Total Drug Submitted ChargeAmount |
121929 |
Total Drug Medicare AllowedAmount |
15997.68 |
Total Drug Medicare PaymentAmount |
12527.86 |
Total Drug Medicare Standardized Payment Amount |
12527.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
201 |
Number Of Medical Services |
12031 |
Number Of Medicare Beneficiaries With Medical Services |
7554 |
Total Medical Submitted Charge Amount |
2667133 |
Total Medical Medicare Allowed Amount |
1320463.21 |
Total Medical Medicare Payment Amount |
1052340.6 |
Total Medical Medicare Standardized Payment Amount |
1071272.03 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
405 |
Number Of Beneficiaries Age 65 to 74 |
3388 |
Number Of Beneficiaries Age 75 to 84 |
2869 |
Number Of Beneficiaries Age Greater 84 |
900 |
Number Of Female Beneficiaries |
4667 |
Number Of Male Beneficiaries |
2895 |
Number Of Non Hispanic White Beneficiaries |
7161 |
Number Of Black or African American Beneficiaries |
193 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
120 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
62 |
Number Of Beneficiaries With Medicare Only Entitlement |
7036 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
526 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4018 |