National Provider Identifier [NPI]: |
1972591923 |
Last Name Of The Provider |
WITT |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1004 N HIGHLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MURFREESBORO |
Zip Code Of The Provider |
371302454 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
18018 |
Number Of Medicare Beneficiaries |
784 |
Total Submitted Charge Amount |
543036.16 |
Total Medicare Allowed Amount |
355812.31 |
Total Medicare Payment Amount |
254753.79 |
Total Medicare Standardized Payment Amount |
262547.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
16392 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
302599 |
Total Drug Medicare AllowedAmount |
240339.23 |
Total Drug Medicare PaymentAmount |
170732.04 |
Total Drug Medicare Standardized Payment Amount |
170732.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1626 |
Number Of Medicare Beneficiaries With Medical Services |
784 |
Total Medical Submitted Charge Amount |
240437.16 |
Total Medical Medicare Allowed Amount |
115473.08 |
Total Medical Medicare Payment Amount |
84021.75 |
Total Medical Medicare Standardized Payment Amount |
91815.8 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
275 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
471 |
Number Of Male Beneficiaries |
313 |
Number Of Non Hispanic White Beneficiaries |
705 |
Number Of Black or African American Beneficiaries |
59 |
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 |
625 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.4236 |