National Provider Identifier [NPI]: |
1477562312 |
Last Name Of The Provider |
BRYANT |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5220 PARK AVENUE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381193500 |
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 |
53 |
Number Of Services |
352560 |
Number Of Medicare Beneficiaries |
1030 |
Total Submitted Charge Amount |
28808062.09 |
Total Medicare Allowed Amount |
11031333.61 |
Total Medicare Payment Amount |
8569775.08 |
Total Medicare Standardized Payment Amount |
8563219.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
37 |
Number Of Drug Services |
343087 |
Number Of Medicare Beneficiaries With Drug Services |
1013 |
Total Drug Submitted ChargeAmount |
27081271.09 |
Total Drug Medicare AllowedAmount |
10288947.62 |
Total Drug Medicare PaymentAmount |
7989751.44 |
Total Drug Medicare Standardized Payment Amount |
7989751.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
9473 |
Number Of Medicare Beneficiaries With Medical Services |
1018 |
Total Medical Submitted Charge Amount |
1726791 |
Total Medical Medicare Allowed Amount |
742385.99 |
Total Medical Medicare Payment Amount |
580023.64 |
Total Medical Medicare Standardized Payment Amount |
573468.25 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
491 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
879 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
924 |
Number Of Black or African American Beneficiaries |
89 |
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 |
951 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
57 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2288 |