National Provider Identifier [NPI]: |
1437374667 |
Last Name Of The Provider |
DYER |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1661 INTERNATIONAL PLACE DRIVE |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
38120 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
185 |
Number Of Services |
5426 |
Number Of Medicare Beneficiaries |
3875 |
Total Submitted Charge Amount |
848217 |
Total Medicare Allowed Amount |
182576 |
Total Medicare Payment Amount |
138585.96 |
Total Medicare Standardized Payment Amount |
147503.75 |
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 |
185 |
Number Of Medical Services |
5426 |
Number Of Medicare Beneficiaries With Medical Services |
3875 |
Total Medical Submitted Charge Amount |
848217 |
Total Medical Medicare Allowed Amount |
182576 |
Total Medical Medicare Payment Amount |
138585.96 |
Total Medical Medicare Standardized Payment Amount |
147503.75 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
1097 |
Number Of Beneficiaries Age 65 to 74 |
1267 |
Number Of Beneficiaries Age 75 to 84 |
990 |
Number Of Beneficiaries Age Greater 84 |
521 |
Number Of Female Beneficiaries |
2197 |
Number Of Male Beneficiaries |
1678 |
Number Of Non Hispanic White Beneficiaries |
1928 |
Number Of Black or African American Beneficiaries |
1893 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
2395 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1480 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.4142 |