National Provider Identifier [NPI]: |
1669563920 |
Last Name Of The Provider |
BRYANT |
First Name Of The Provider |
DAMITA |
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 |
5651 FRIST BLVD |
Street Address 2 Of The Provider |
SUITE 712 |
City Of The Provider |
HERMITAGE |
Zip Code Of The Provider |
370762054 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
8962 |
Number Of Medicare Beneficiaries |
886 |
Total Submitted Charge Amount |
1235472.45 |
Total Medicare Allowed Amount |
414266.24 |
Total Medicare Payment Amount |
295583.16 |
Total Medicare Standardized Payment Amount |
321803.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
5031 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
101319.35 |
Total Drug Medicare AllowedAmount |
37232.7 |
Total Drug Medicare PaymentAmount |
28343.32 |
Total Drug Medicare Standardized Payment Amount |
28343.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3931 |
Number Of Medicare Beneficiaries With Medical Services |
886 |
Total Medical Submitted Charge Amount |
1134153.1 |
Total Medical Medicare Allowed Amount |
377033.54 |
Total Medical Medicare Payment Amount |
267239.84 |
Total Medical Medicare Standardized Payment Amount |
293460.07 |
Average Age Of Beneficiaries |
59 |
Number Of Beneficiaries Age Less65 |
544 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
587 |
Number Of Male Beneficiaries |
299 |
Number Of Non Hispanic White Beneficiaries |
756 |
Number Of Black or African American Beneficiaries |
111 |
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 |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
456 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5868 |