National Provider Identifier [NPI]: |
1356372247 |
Last Name Of The Provider |
BOYNTON |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
460 PLUMAS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
YUBA CITY |
Zip Code Of The Provider |
959915005 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
1562 |
Number Of Medicare Beneficiaries |
536 |
Total Submitted Charge Amount |
526462 |
Total Medicare Allowed Amount |
145083.56 |
Total Medicare Payment Amount |
106184.95 |
Total Medicare Standardized Payment Amount |
102405.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
115 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
741 |
Total Drug Medicare AllowedAmount |
265.65 |
Total Drug Medicare PaymentAmount |
187.01 |
Total Drug Medicare Standardized Payment Amount |
187.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
1447 |
Number Of Medicare Beneficiaries With Medical Services |
536 |
Total Medical Submitted Charge Amount |
525721 |
Total Medical Medicare Allowed Amount |
144817.91 |
Total Medical Medicare Payment Amount |
105997.94 |
Total Medical Medicare Standardized Payment Amount |
102218.74 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
238 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
213 |
Number Of Non Hispanic White Beneficiaries |
428 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
379 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4048 |