National Provider Identifier [NPI]: |
1679512644 |
Last Name Of The Provider |
TYTLER |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
D.O.,F.A.C.O.I |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1208 N UNIVERSITY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLANTATION |
Zip Code Of The Provider |
333224724 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
917 |
Number Of Medicare Beneficiaries |
306 |
Total Submitted Charge Amount |
63584.83 |
Total Medicare Allowed Amount |
45610.5 |
Total Medicare Payment Amount |
34947.28 |
Total Medicare Standardized Payment Amount |
33613.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
544 |
Total Drug Medicare AllowedAmount |
459.58 |
Total Drug Medicare PaymentAmount |
448.19 |
Total Drug Medicare Standardized Payment Amount |
448.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
890 |
Number Of Medicare Beneficiaries With Medical Services |
306 |
Total Medical Submitted Charge Amount |
63040.83 |
Total Medical Medicare Allowed Amount |
45150.92 |
Total Medical Medicare Payment Amount |
34499.09 |
Total Medical Medicare Standardized Payment Amount |
33165.14 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
181 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
219 |
Number Of Black or African American Beneficiaries |
49 |
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 |
235 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.3086 |