National Provider Identifier [NPI]: |
1184823882 |
Last Name Of The Provider |
MYERS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
303 MEDICAL DRIVE |
Street Address 2 Of The Provider |
STE. 401 |
City Of The Provider |
LAGRANGE |
Zip Code Of The Provider |
302404145 |
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 |
78 |
Number Of Services |
4204 |
Number Of Medicare Beneficiaries |
954 |
Total Submitted Charge Amount |
992050 |
Total Medicare Allowed Amount |
379574.42 |
Total Medicare Payment Amount |
285229.14 |
Total Medicare Standardized Payment Amount |
301496.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
639 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
155831 |
Total Drug Medicare AllowedAmount |
51630.84 |
Total Drug Medicare PaymentAmount |
40006.34 |
Total Drug Medicare Standardized Payment Amount |
40006.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3565 |
Number Of Medicare Beneficiaries With Medical Services |
954 |
Total Medical Submitted Charge Amount |
836219 |
Total Medical Medicare Allowed Amount |
327943.58 |
Total Medical Medicare Payment Amount |
245222.8 |
Total Medical Medicare Standardized Payment Amount |
261490.3 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
400 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
252 |
Number Of Male Beneficiaries |
702 |
Number Of Non Hispanic White Beneficiaries |
744 |
Number Of Black or African American Beneficiaries |
188 |
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 |
748 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3221 |