National Provider Identifier [NPI]: |
1649290974 |
Last Name Of The Provider |
FLOYD |
First Name Of The Provider |
WALTER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11 CAMBRIDGE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WETUMPKA |
Zip Code Of The Provider |
360931258 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
2914 |
Number Of Medicare Beneficiaries |
307 |
Total Submitted Charge Amount |
122033 |
Total Medicare Allowed Amount |
66740.28 |
Total Medicare Payment Amount |
45613.39 |
Total Medicare Standardized Payment Amount |
51896.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1521 |
Number Of Medicare Beneficiaries With Drug Services |
217 |
Total Drug Submitted ChargeAmount |
18573 |
Total Drug Medicare AllowedAmount |
2146.45 |
Total Drug Medicare PaymentAmount |
1488.12 |
Total Drug Medicare Standardized Payment Amount |
1488.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1393 |
Number Of Medicare Beneficiaries With Medical Services |
306 |
Total Medical Submitted Charge Amount |
103460 |
Total Medical Medicare Allowed Amount |
64593.83 |
Total Medical Medicare Payment Amount |
44125.27 |
Total Medical Medicare Standardized Payment Amount |
50408.3 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
199 |
Number Of Male Beneficiaries |
108 |
Number Of Non Hispanic White Beneficiaries |
284 |
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 |
284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8932 |