National Provider Identifier [NPI]: |
1255323382 |
Last Name Of The Provider |
CRIPPS |
First Name Of The Provider |
HUGH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
302 N CONGRESS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SMITHVILLE |
Zip Code Of The Provider |
371662704 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
183 |
Number Of Services |
10708 |
Number Of Medicare Beneficiaries |
307 |
Total Submitted Charge Amount |
628350 |
Total Medicare Allowed Amount |
378711.16 |
Total Medicare Payment Amount |
281917.4 |
Total Medicare Standardized Payment Amount |
295191.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
27 |
Number Of Drug Services |
3729 |
Number Of Medicare Beneficiaries With Drug Services |
254 |
Total Drug Submitted ChargeAmount |
225135 |
Total Drug Medicare AllowedAmount |
174330.62 |
Total Drug Medicare PaymentAmount |
122394.14 |
Total Drug Medicare Standardized Payment Amount |
122394.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
6979 |
Number Of Medicare Beneficiaries With Medical Services |
307 |
Total Medical Submitted Charge Amount |
403215 |
Total Medical Medicare Allowed Amount |
204380.54 |
Total Medical Medicare Payment Amount |
159523.26 |
Total Medical Medicare Standardized Payment Amount |
172797.8 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
167 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
296 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1715 |