National Provider Identifier [NPI]: |
1609952654 |
Last Name Of The Provider |
BUSBEE |
First Name Of The Provider |
BRANDON |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
345 23RD AVE N |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372031513 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
25100 |
Number Of Medicare Beneficiaries |
1545 |
Total Submitted Charge Amount |
15856982.2 |
Total Medicare Allowed Amount |
6246185.59 |
Total Medicare Payment Amount |
4720746.92 |
Total Medicare Standardized Payment Amount |
4790141.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
14064 |
Number Of Medicare Beneficiaries With Drug Services |
626 |
Total Drug Submitted ChargeAmount |
13132561.2 |
Total Drug Medicare AllowedAmount |
5237903.11 |
Total Drug Medicare PaymentAmount |
3995541.4 |
Total Drug Medicare Standardized Payment Amount |
3995541.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
11036 |
Number Of Medicare Beneficiaries With Medical Services |
1545 |
Total Medical Submitted Charge Amount |
2724421 |
Total Medical Medicare Allowed Amount |
1008282.48 |
Total Medical Medicare Payment Amount |
725205.52 |
Total Medical Medicare Standardized Payment Amount |
794600.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
546 |
Number Of Beneficiaries Age 75 to 84 |
570 |
Number Of Beneficiaries Age Greater 84 |
310 |
Number Of Female Beneficiaries |
942 |
Number Of Male Beneficiaries |
603 |
Number Of Non Hispanic White Beneficiaries |
1437 |
Number Of Black or African American Beneficiaries |
81 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1379 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2987 |