Medicare Facts for David Taylor


National Provider Identifier [NPI]: 1417901745
Last Name Of The Provider TAYLOR
First Name Of The Provider DAVID
Middle Initial Of The Provider
Credentials Of The Provider
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1955 COUNTY ROAD 306
Street Address 2 Of The Provider
City Of The Provider ROCKDALE
Zip Code Of The Provider 765674430
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 7
Number Of Services 28
Number Of Medicare Beneficiaries 24
Total Submitted Charge Amount 5177.5
Total Medicare Allowed Amount 1625.84
Total Medicare Payment Amount 1274.76
Total Medicare Standardized Payment Amount 1547.45
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 7
Number Of Medical Services 28
Number Of Medicare Beneficiaries With Medical Services 24
Total Medical Submitted Charge Amount 5177.5
Total Medical Medicare Allowed Amount 1625.84
Total Medical Medicare Payment Amount 1274.76
Total Medical Medicare Standardized Payment Amount 1547.45
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
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 11
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 58
Percent Of With Chronic Kidney Disease 50
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 63
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 67
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.7742

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