National Provider Identifier [NPI]: |
1689769739 |
Last Name Of The Provider |
BOYINGTON |
First Name Of The Provider |
ROGER |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
508 E THREE NOTCH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANDALUSIA |
Zip Code Of The Provider |
364203128 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
5685 |
Number Of Medicare Beneficiaries |
591 |
Total Submitted Charge Amount |
305972.68 |
Total Medicare Allowed Amount |
210951.28 |
Total Medicare Payment Amount |
150893.23 |
Total Medicare Standardized Payment Amount |
171663.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
1541 |
Number Of Medicare Beneficiaries With Drug Services |
268 |
Total Drug Submitted ChargeAmount |
22034.68 |
Total Drug Medicare AllowedAmount |
10757.79 |
Total Drug Medicare PaymentAmount |
7032.02 |
Total Drug Medicare Standardized Payment Amount |
7032.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
4144 |
Number Of Medicare Beneficiaries With Medical Services |
591 |
Total Medical Submitted Charge Amount |
283938 |
Total Medical Medicare Allowed Amount |
200193.49 |
Total Medical Medicare Payment Amount |
143861.21 |
Total Medical Medicare Standardized Payment Amount |
164631.5 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
547 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.8666 |