National Provider Identifier [NPI]: |
1831165778 |
Last Name Of The Provider |
BOYS |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8401 DATAPOINT DR |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782295900 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
230 |
Number Of Services |
17175 |
Number Of Medicare Beneficiaries |
4179 |
Total Submitted Charge Amount |
2697521 |
Total Medicare Allowed Amount |
516257.52 |
Total Medicare Payment Amount |
397132.52 |
Total Medicare Standardized Payment Amount |
435609.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
10886 |
Number Of Medicare Beneficiaries With Drug Services |
361 |
Total Drug Submitted ChargeAmount |
22663 |
Total Drug Medicare AllowedAmount |
10822.48 |
Total Drug Medicare PaymentAmount |
8237.76 |
Total Drug Medicare Standardized Payment Amount |
8237.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
227 |
Number Of Medical Services |
6289 |
Number Of Medicare Beneficiaries With Medical Services |
4179 |
Total Medical Submitted Charge Amount |
2674858 |
Total Medical Medicare Allowed Amount |
505435.04 |
Total Medical Medicare Payment Amount |
388894.76 |
Total Medical Medicare Standardized Payment Amount |
427371.73 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
773 |
Number Of Beneficiaries Age 65 to 74 |
1467 |
Number Of Beneficiaries Age 75 to 84 |
1255 |
Number Of Beneficiaries Age Greater 84 |
684 |
Number Of Female Beneficiaries |
2384 |
Number Of Male Beneficiaries |
1795 |
Number Of Non Hispanic White Beneficiaries |
2707 |
Number Of Black or African American Beneficiaries |
197 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
1206 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3178 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1001 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.9565 |