National Provider Identifier [NPI]: |
1902861917 |
Last Name Of The Provider |
BOYD |
First Name Of The Provider |
BUFFI |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
230 E DERENNE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314056736 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
155 |
Number Of Services |
16245 |
Number Of Medicare Beneficiaries |
1399 |
Total Submitted Charge Amount |
1601348.17 |
Total Medicare Allowed Amount |
450952.85 |
Total Medicare Payment Amount |
342173.07 |
Total Medicare Standardized Payment Amount |
368755.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
6434 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
133613.87 |
Total Drug Medicare AllowedAmount |
56386.29 |
Total Drug Medicare PaymentAmount |
43845.39 |
Total Drug Medicare Standardized Payment Amount |
43845.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
143 |
Number Of Medical Services |
9811 |
Number Of Medicare Beneficiaries With Medical Services |
1399 |
Total Medical Submitted Charge Amount |
1467734.3 |
Total Medical Medicare Allowed Amount |
394566.56 |
Total Medical Medicare Payment Amount |
298327.68 |
Total Medical Medicare Standardized Payment Amount |
324910.31 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
626 |
Number Of Beneficiaries Age 75 to 84 |
463 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
716 |
Number Of Male Beneficiaries |
683 |
Number Of Non Hispanic White Beneficiaries |
1162 |
Number Of Black or African American Beneficiaries |
203 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1244 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2685 |