National Provider Identifier [NPI]: |
1588637102 |
Last Name Of The Provider |
BAYUK |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
269 LOCUST ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
NORTHAMPTON |
Zip Code Of The Provider |
010622003 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
13674 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
576969.79 |
Total Medicare Allowed Amount |
232287.11 |
Total Medicare Payment Amount |
176261.02 |
Total Medicare Standardized Payment Amount |
174688.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2667 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
130939.06 |
Total Drug Medicare AllowedAmount |
65831.37 |
Total Drug Medicare PaymentAmount |
51525.66 |
Total Drug Medicare Standardized Payment Amount |
51525.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
11007 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
446030.73 |
Total Medical Medicare Allowed Amount |
166455.74 |
Total Medical Medicare Payment Amount |
124735.36 |
Total Medical Medicare Standardized Payment Amount |
123163.05 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
278 |
Number Of Male Beneficiaries |
106 |
Number Of Non Hispanic White Beneficiaries |
337 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
41 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
13 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9332 |