National Provider Identifier [NPI]: |
1588678783 |
Last Name Of The Provider |
BROWDER |
First Name Of The Provider |
JOE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
220 FORT SANDERS WEST BLVD |
Street Address 2 Of The Provider |
SUITE 308 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379223398 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
10104 |
Number Of Medicare Beneficiaries |
784 |
Total Submitted Charge Amount |
1610553.9 |
Total Medicare Allowed Amount |
462861.06 |
Total Medicare Payment Amount |
356300.03 |
Total Medicare Standardized Payment Amount |
327207.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
250 |
Total Drug Medicare AllowedAmount |
75.9 |
Total Drug Medicare PaymentAmount |
59.51 |
Total Drug Medicare Standardized Payment Amount |
59.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
10079 |
Number Of Medicare Beneficiaries With Medical Services |
784 |
Total Medical Submitted Charge Amount |
1610303.9 |
Total Medical Medicare Allowed Amount |
462785.16 |
Total Medical Medicare Payment Amount |
356240.52 |
Total Medical Medicare Standardized Payment Amount |
327148.15 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
355 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
453 |
Number Of Male Beneficiaries |
331 |
Number Of Non Hispanic White Beneficiaries |
732 |
Number Of Black or African American Beneficiaries |
34 |
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 |
584 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2182 |