National Provider Identifier [NPI]: |
1396850004 |
Last Name Of The Provider |
HAYES |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
710 FALLS BLVD S |
Street Address 2 Of The Provider |
|
City Of The Provider |
WYNNE |
Zip Code Of The Provider |
723963514 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
3302 |
Number Of Medicare Beneficiaries |
469 |
Total Submitted Charge Amount |
207615.34 |
Total Medicare Allowed Amount |
129298.94 |
Total Medicare Payment Amount |
89264.98 |
Total Medicare Standardized Payment Amount |
98833.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
266 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
4957 |
Total Drug Medicare AllowedAmount |
1840.9 |
Total Drug Medicare PaymentAmount |
1701.31 |
Total Drug Medicare Standardized Payment Amount |
1701.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
3036 |
Number Of Medicare Beneficiaries With Medical Services |
469 |
Total Medical Submitted Charge Amount |
202658.34 |
Total Medical Medicare Allowed Amount |
127458.04 |
Total Medical Medicare Payment Amount |
87563.67 |
Total Medical Medicare Standardized Payment Amount |
97132.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
407 |
Number Of Black or African American Beneficiaries |
|
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 |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1445 |