National Provider Identifier [NPI]: |
1376580373 |
Last Name Of The Provider |
HYER |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 PALOMINO LN |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064894 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
233 |
Number Of Services |
19888 |
Number Of Medicare Beneficiaries |
3718 |
Total Submitted Charge Amount |
1359135.2 |
Total Medicare Allowed Amount |
337401.54 |
Total Medicare Payment Amount |
253461.62 |
Total Medicare Standardized Payment Amount |
248132.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
14894 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
40672.33 |
Total Drug Medicare AllowedAmount |
3723.84 |
Total Drug Medicare PaymentAmount |
2917.29 |
Total Drug Medicare Standardized Payment Amount |
2917.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
225 |
Number Of Medical Services |
4994 |
Number Of Medicare Beneficiaries With Medical Services |
3716 |
Total Medical Submitted Charge Amount |
1318462.87 |
Total Medical Medicare Allowed Amount |
333677.7 |
Total Medical Medicare Payment Amount |
250544.33 |
Total Medical Medicare Standardized Payment Amount |
245215.05 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
591 |
Number Of Beneficiaries Age 65 to 74 |
1811 |
Number Of Beneficiaries Age 75 to 84 |
1009 |
Number Of Beneficiaries Age Greater 84 |
307 |
Number Of Female Beneficiaries |
2322 |
Number Of Male Beneficiaries |
1396 |
Number Of Non Hispanic White Beneficiaries |
2843 |
Number Of Black or African American Beneficiaries |
360 |
Number Of AsianPacific Islander Beneficiaries |
164 |
Number Of Hispanic Beneficiaries |
267 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
70 |
Number Of Beneficiaries With Medicare Only Entitlement |
3042 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
676 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4258 |