National Provider Identifier [NPI]: |
1932224938 |
Last Name Of The Provider |
HATCHER |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
294 SUMMAR DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
383013915 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
2197 |
Number Of Medicare Beneficiaries |
1239 |
Total Submitted Charge Amount |
854191 |
Total Medicare Allowed Amount |
229556.76 |
Total Medicare Payment Amount |
174236.32 |
Total Medicare Standardized Payment Amount |
184679.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2197 |
Number Of Medicare Beneficiaries With Medical Services |
1239 |
Total Medical Submitted Charge Amount |
854191 |
Total Medical Medicare Allowed Amount |
229556.76 |
Total Medical Medicare Payment Amount |
174236.32 |
Total Medical Medicare Standardized Payment Amount |
184679.54 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
318 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
346 |
Number Of Beneficiaries Age Greater 84 |
215 |
Number Of Female Beneficiaries |
679 |
Number Of Male Beneficiaries |
560 |
Number Of Non Hispanic White Beneficiaries |
965 |
Number Of Black or African American Beneficiaries |
263 |
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 |
712 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
527 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.3238 |