National Provider Identifier [NPI]: |
1477597532 |
Last Name Of The Provider |
WINN |
First Name Of The Provider |
DONNA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4707 PAPERMILL DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379091900 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
10057 |
Number Of Medicare Beneficiaries |
252 |
Total Submitted Charge Amount |
374485.9 |
Total Medicare Allowed Amount |
323647.53 |
Total Medicare Payment Amount |
234258.39 |
Total Medicare Standardized Payment Amount |
241254.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
8395 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
284047.4 |
Total Drug Medicare AllowedAmount |
248100.99 |
Total Drug Medicare PaymentAmount |
182202.8 |
Total Drug Medicare Standardized Payment Amount |
182202.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1662 |
Number Of Medicare Beneficiaries With Medical Services |
252 |
Total Medical Submitted Charge Amount |
90438.5 |
Total Medical Medicare Allowed Amount |
75546.54 |
Total Medical Medicare Payment Amount |
52055.59 |
Total Medical Medicare Standardized Payment Amount |
59051.5 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
31 |
Number Of Non Hispanic White Beneficiaries |
236 |
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 |
232 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2722 |