National Provider Identifier [NPI]: |
1033231915 |
Last Name Of The Provider |
TOY |
First Name Of The Provider |
WALTON |
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 |
2708 RIFE MEDICAL LN |
Street Address 2 Of The Provider |
SUITE T20 |
City Of The Provider |
ROGERS |
Zip Code Of The Provider |
727581452 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
64719 |
Number Of Medicare Beneficiaries |
665 |
Total Submitted Charge Amount |
2548454 |
Total Medicare Allowed Amount |
1518767.23 |
Total Medicare Payment Amount |
1157011.66 |
Total Medicare Standardized Payment Amount |
1175295.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
56519 |
Number Of Medicare Beneficiaries With Drug Services |
275 |
Total Drug Submitted ChargeAmount |
1992093 |
Total Drug Medicare AllowedAmount |
1299434.3 |
Total Drug Medicare PaymentAmount |
994117.98 |
Total Drug Medicare Standardized Payment Amount |
994117.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
8200 |
Number Of Medicare Beneficiaries With Medical Services |
665 |
Total Medical Submitted Charge Amount |
556361 |
Total Medical Medicare Allowed Amount |
219332.93 |
Total Medical Medicare Payment Amount |
162893.68 |
Total Medical Medicare Standardized Payment Amount |
181177.85 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
533 |
Number Of Male Beneficiaries |
132 |
Number Of Non Hispanic White Beneficiaries |
634 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
593 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
36 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2693 |