National Provider Identifier [NPI]: |
1356670509 |
Last Name Of The Provider |
BOYLAN |
First Name Of The Provider |
ZACHARY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
805 SAINT VINCENTS DR |
Street Address 2 Of The Provider |
SUITE 510 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051636 |
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 |
125 |
Number Of Services |
4460 |
Number Of Medicare Beneficiaries |
348 |
Total Submitted Charge Amount |
232944 |
Total Medicare Allowed Amount |
144012.08 |
Total Medicare Payment Amount |
109471.34 |
Total Medicare Standardized Payment Amount |
121929.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
422 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
8938 |
Total Drug Medicare AllowedAmount |
4282.99 |
Total Drug Medicare PaymentAmount |
3601.45 |
Total Drug Medicare Standardized Payment Amount |
3601.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
4038 |
Number Of Medicare Beneficiaries With Medical Services |
348 |
Total Medical Submitted Charge Amount |
224006 |
Total Medical Medicare Allowed Amount |
139729.09 |
Total Medical Medicare Payment Amount |
105869.89 |
Total Medical Medicare Standardized Payment Amount |
118327.59 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
213 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
248 |
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 |
307 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0174 |