National Provider Identifier [NPI]: |
1538118955 |
Last Name Of The Provider |
DOUYON |
First Name Of The Provider |
HUGUETTE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7777 HWY 43 NORTH |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCINTOSH |
Zip Code Of The Provider |
36553 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
2121 |
Number Of Medicare Beneficiaries |
669 |
Total Submitted Charge Amount |
140789 |
Total Medicare Allowed Amount |
102778.97 |
Total Medicare Payment Amount |
80638.68 |
Total Medicare Standardized Payment Amount |
85491.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
207 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
1344 |
Total Drug Medicare AllowedAmount |
285.57 |
Total Drug Medicare PaymentAmount |
171.96 |
Total Drug Medicare Standardized Payment Amount |
171.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1914 |
Number Of Medicare Beneficiaries With Medical Services |
666 |
Total Medical Submitted Charge Amount |
139445 |
Total Medical Medicare Allowed Amount |
102493.4 |
Total Medical Medicare Payment Amount |
80466.72 |
Total Medical Medicare Standardized Payment Amount |
85319.48 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
223 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
381 |
Number Of Male Beneficiaries |
288 |
Number Of Non Hispanic White Beneficiaries |
472 |
Number Of Black or African American Beneficiaries |
173 |
Number Of AsianPacific Islander Beneficiaries |
13 |
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 |
437 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
232 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.6546 |