National Provider Identifier [NPI]: |
1063484228 |
Last Name Of The Provider |
MEYER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 KENYON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT DODGE |
Zip Code Of The Provider |
505015776 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
8931 |
Number Of Medicare Beneficiaries |
1577 |
Total Submitted Charge Amount |
877344.5 |
Total Medicare Allowed Amount |
481044.62 |
Total Medicare Payment Amount |
361292.21 |
Total Medicare Standardized Payment Amount |
384827.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3695 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
113457 |
Total Drug Medicare AllowedAmount |
97411.59 |
Total Drug Medicare PaymentAmount |
76816.08 |
Total Drug Medicare Standardized Payment Amount |
76816.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
5236 |
Number Of Medicare Beneficiaries With Medical Services |
1576 |
Total Medical Submitted Charge Amount |
763887.5 |
Total Medical Medicare Allowed Amount |
383633.03 |
Total Medical Medicare Payment Amount |
284476.13 |
Total Medical Medicare Standardized Payment Amount |
308011.88 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
246 |
Number Of Beneficiaries Age 65 to 74 |
587 |
Number Of Beneficiaries Age 75 to 84 |
546 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
743 |
Number Of Male Beneficiaries |
834 |
Number Of Non Hispanic White Beneficiaries |
1540 |
Number Of Black or African American Beneficiaries |
14 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1244 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
333 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6016 |