National Provider Identifier [NPI]: |
1659342285 |
Last Name Of The Provider |
MYERS |
First Name Of The Provider |
CARL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
224 MARSHALL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLATTE CITY |
Zip Code Of The Provider |
640799761 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
4563 |
Number Of Medicare Beneficiaries |
551 |
Total Submitted Charge Amount |
416273 |
Total Medicare Allowed Amount |
264230.01 |
Total Medicare Payment Amount |
197800.72 |
Total Medicare Standardized Payment Amount |
202655.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
727 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
16891 |
Total Drug Medicare AllowedAmount |
11168.34 |
Total Drug Medicare PaymentAmount |
9530.03 |
Total Drug Medicare Standardized Payment Amount |
9530.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3836 |
Number Of Medicare Beneficiaries With Medical Services |
551 |
Total Medical Submitted Charge Amount |
399382 |
Total Medical Medicare Allowed Amount |
253061.67 |
Total Medical Medicare Payment Amount |
188270.69 |
Total Medical Medicare Standardized Payment Amount |
193125.73 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
316 |
Number Of Male Beneficiaries |
235 |
Number Of Non Hispanic White Beneficiaries |
520 |
Number Of Black or African American Beneficiaries |
15 |
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 |
447 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5095 |