National Provider Identifier [NPI]: |
1912060468 |
Last Name Of The Provider |
VINSON |
First Name Of The Provider |
JANICE |
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 |
3601 THE VANDERBILT CLINIC |
Street Address 2 Of The Provider |
|
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372320001 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3744 |
Number Of Medicare Beneficiaries |
1219 |
Total Submitted Charge Amount |
1094247 |
Total Medicare Allowed Amount |
376221.64 |
Total Medicare Payment Amount |
277144.38 |
Total Medicare Standardized Payment Amount |
301041.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
481 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
50940 |
Total Drug Medicare AllowedAmount |
25330.27 |
Total Drug Medicare PaymentAmount |
19432.32 |
Total Drug Medicare Standardized Payment Amount |
19432.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3263 |
Number Of Medicare Beneficiaries With Medical Services |
1219 |
Total Medical Submitted Charge Amount |
1043307 |
Total Medical Medicare Allowed Amount |
350891.37 |
Total Medical Medicare Payment Amount |
257712.06 |
Total Medical Medicare Standardized Payment Amount |
281609.66 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
490 |
Number Of Beneficiaries Age 75 to 84 |
426 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
638 |
Number Of Male Beneficiaries |
581 |
Number Of Non Hispanic White Beneficiaries |
1138 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
1022 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3871 |