National Provider Identifier [NPI]: |
1194722371 |
Last Name Of The Provider |
CAYWOOD |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 SOUTHWEST BLVD |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
JEFFERSON CITY |
Zip Code Of The Provider |
651092432 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
6837 |
Number Of Medicare Beneficiaries |
599 |
Total Submitted Charge Amount |
452779 |
Total Medicare Allowed Amount |
255862.75 |
Total Medicare Payment Amount |
182785.77 |
Total Medicare Standardized Payment Amount |
196689.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2967 |
Number Of Medicare Beneficiaries With Drug Services |
273 |
Total Drug Submitted ChargeAmount |
54360 |
Total Drug Medicare AllowedAmount |
36690.96 |
Total Drug Medicare PaymentAmount |
30502.12 |
Total Drug Medicare Standardized Payment Amount |
30502.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
3870 |
Number Of Medicare Beneficiaries With Medical Services |
599 |
Total Medical Submitted Charge Amount |
398419 |
Total Medical Medicare Allowed Amount |
219171.79 |
Total Medical Medicare Payment Amount |
152283.65 |
Total Medical Medicare Standardized Payment Amount |
166187.37 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
230 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
582 |
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 |
497 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2367 |