National Provider Identifier [NPI]: |
1356442578 |
Last Name Of The Provider |
TORREY |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
106 HIGHLAND WAY |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
MADISON |
Zip Code Of The Provider |
391106929 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
5716 |
Number Of Medicare Beneficiaries |
572 |
Total Submitted Charge Amount |
283108.9 |
Total Medicare Allowed Amount |
166274.71 |
Total Medicare Payment Amount |
118834.64 |
Total Medicare Standardized Payment Amount |
129017 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
1920 |
Number Of Medicare Beneficiaries With Drug Services |
279 |
Total Drug Submitted ChargeAmount |
24250.5 |
Total Drug Medicare AllowedAmount |
7932.19 |
Total Drug Medicare PaymentAmount |
6978.62 |
Total Drug Medicare Standardized Payment Amount |
6978.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
3796 |
Number Of Medicare Beneficiaries With Medical Services |
572 |
Total Medical Submitted Charge Amount |
258858.4 |
Total Medical Medicare Allowed Amount |
158342.52 |
Total Medical Medicare Payment Amount |
111856.02 |
Total Medical Medicare Standardized Payment Amount |
122038.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
320 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
443 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0344 |