National Provider Identifier [NPI]: |
1346286317 |
Last Name Of The Provider |
LAYTON |
First Name Of The Provider |
BRENT |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1055 N 500 W |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
PROVO |
Zip Code Of The Provider |
846043305 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
213 |
Number Of Services |
12260 |
Number Of Medicare Beneficiaries |
1647 |
Total Submitted Charge Amount |
981446 |
Total Medicare Allowed Amount |
270925.05 |
Total Medicare Payment Amount |
205438.44 |
Total Medicare Standardized Payment Amount |
224112.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
9506 |
Number Of Medicare Beneficiaries With Drug Services |
260 |
Total Drug Submitted ChargeAmount |
27582 |
Total Drug Medicare AllowedAmount |
5819.57 |
Total Drug Medicare PaymentAmount |
4495.61 |
Total Drug Medicare Standardized Payment Amount |
4495.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
201 |
Number Of Medical Services |
2754 |
Number Of Medicare Beneficiaries With Medical Services |
1647 |
Total Medical Submitted Charge Amount |
953864 |
Total Medical Medicare Allowed Amount |
265105.48 |
Total Medical Medicare Payment Amount |
200942.83 |
Total Medical Medicare Standardized Payment Amount |
219617.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
185 |
Number Of Beneficiaries Age 65 to 74 |
696 |
Number Of Beneficiaries Age 75 to 84 |
565 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
1057 |
Number Of Male Beneficiaries |
590 |
Number Of Non Hispanic White Beneficiaries |
1560 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1997 |