National Provider Identifier [NPI]: |
1568521748 |
Last Name Of The Provider |
OZMENT |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1112 E WEISGARBER RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379092647 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
198 |
Number Of Services |
7089 |
Number Of Medicare Beneficiaries |
4105 |
Total Submitted Charge Amount |
647196 |
Total Medicare Allowed Amount |
177811.68 |
Total Medicare Payment Amount |
137626.08 |
Total Medicare Standardized Payment Amount |
146880.63 |
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 |
198 |
Number Of Medical Services |
7089 |
Number Of Medicare Beneficiaries With Medical Services |
4105 |
Total Medical Submitted Charge Amount |
647196 |
Total Medical Medicare Allowed Amount |
177811.68 |
Total Medical Medicare Payment Amount |
137626.08 |
Total Medical Medicare Standardized Payment Amount |
146880.63 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
1066 |
Number Of Beneficiaries Age 65 to 74 |
1590 |
Number Of Beneficiaries Age 75 to 84 |
996 |
Number Of Beneficiaries Age Greater 84 |
453 |
Number Of Female Beneficiaries |
2573 |
Number Of Male Beneficiaries |
1532 |
Number Of Non Hispanic White Beneficiaries |
3971 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
2471 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1634 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4827 |