National Provider Identifier [NPI]: |
1013921667 |
Last Name Of The Provider |
MEYER |
First Name Of The Provider |
NEAL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
311 N KEENE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652016623 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
214 |
Number Of Services |
13782 |
Number Of Medicare Beneficiaries |
3600 |
Total Submitted Charge Amount |
1587335.54 |
Total Medicare Allowed Amount |
355703.19 |
Total Medicare Payment Amount |
274037.93 |
Total Medicare Standardized Payment Amount |
302837.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
7944 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
20499.6 |
Total Drug Medicare AllowedAmount |
2665.96 |
Total Drug Medicare PaymentAmount |
2080.74 |
Total Drug Medicare Standardized Payment Amount |
2080.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
204 |
Number Of Medical Services |
5838 |
Number Of Medicare Beneficiaries With Medical Services |
3600 |
Total Medical Submitted Charge Amount |
1566835.94 |
Total Medical Medicare Allowed Amount |
353037.23 |
Total Medical Medicare Payment Amount |
271957.19 |
Total Medical Medicare Standardized Payment Amount |
300756.7 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
742 |
Number Of Beneficiaries Age 65 to 74 |
1400 |
Number Of Beneficiaries Age 75 to 84 |
992 |
Number Of Beneficiaries Age Greater 84 |
466 |
Number Of Female Beneficiaries |
2178 |
Number Of Male Beneficiaries |
1422 |
Number Of Non Hispanic White Beneficiaries |
3451 |
Number Of Black or African American Beneficiaries |
94 |
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 |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
2755 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
845 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2679 |