National Provider Identifier [NPI]: |
1568598860 |
Last Name Of The Provider |
TELFORD |
First Name Of The Provider |
BYRON |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 BLACK OAK DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
975048447 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
10 |
Number Of Services |
1273 |
Number Of Medicare Beneficiaries |
640 |
Total Submitted Charge Amount |
343567 |
Total Medicare Allowed Amount |
115074.62 |
Total Medicare Payment Amount |
81725.64 |
Total Medicare Standardized Payment Amount |
102689.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
847 |
Total Drug Medicare AllowedAmount |
319.96 |
Total Drug Medicare PaymentAmount |
313.58 |
Total Drug Medicare Standardized Payment Amount |
313.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
7 |
Number Of Medical Services |
1261 |
Number Of Medicare Beneficiaries With Medical Services |
640 |
Total Medical Submitted Charge Amount |
342720 |
Total Medical Medicare Allowed Amount |
114754.66 |
Total Medical Medicare Payment Amount |
81412.06 |
Total Medical Medicare Standardized Payment Amount |
102375.89 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
299 |
Number Of Male Beneficiaries |
341 |
Number Of Non Hispanic White Beneficiaries |
613 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
536 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2865 |