National Provider Identifier [NPI]: |
1649207242 |
Last Name Of The Provider |
ARNOLD |
First Name Of The Provider |
ANITA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1068 CRESTHAVEN RD |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381190800 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
246786 |
Number Of Medicare Beneficiaries |
655 |
Total Submitted Charge Amount |
1086216 |
Total Medicare Allowed Amount |
408705.49 |
Total Medicare Payment Amount |
310120.52 |
Total Medicare Standardized Payment Amount |
327475.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
243536 |
Number Of Medicare Beneficiaries With Drug Services |
198 |
Total Drug Submitted ChargeAmount |
586921 |
Total Drug Medicare AllowedAmount |
212311.9 |
Total Drug Medicare PaymentAmount |
163419.23 |
Total Drug Medicare Standardized Payment Amount |
163419.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3250 |
Number Of Medicare Beneficiaries With Medical Services |
655 |
Total Medical Submitted Charge Amount |
499295 |
Total Medical Medicare Allowed Amount |
196393.59 |
Total Medical Medicare Payment Amount |
146701.29 |
Total Medical Medicare Standardized Payment Amount |
164056.58 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
345 |
Number Of Male Beneficiaries |
310 |
Number Of Non Hispanic White Beneficiaries |
493 |
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 |
509 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.4988 |