National Provider Identifier [NPI]: |
1588612907 |
Last Name Of The Provider |
PARHAM |
First Name Of The Provider |
JON |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DO, MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1924 ALCOA HWY |
Street Address 2 Of The Provider |
U-110 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379201511 |
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 |
82 |
Number Of Services |
927 |
Number Of Medicare Beneficiaries |
305 |
Total Submitted Charge Amount |
81353 |
Total Medicare Allowed Amount |
51474.42 |
Total Medicare Payment Amount |
40268.77 |
Total Medicare Standardized Payment Amount |
42821 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
1576 |
Total Drug Medicare AllowedAmount |
968.29 |
Total Drug Medicare PaymentAmount |
944.74 |
Total Drug Medicare Standardized Payment Amount |
944.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
877 |
Number Of Medicare Beneficiaries With Medical Services |
305 |
Total Medical Submitted Charge Amount |
79777 |
Total Medical Medicare Allowed Amount |
50506.13 |
Total Medical Medicare Payment Amount |
39324.03 |
Total Medical Medicare Standardized Payment Amount |
41876.26 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
83 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
169 |
Number Of Male Beneficiaries |
136 |
Number Of Non Hispanic White Beneficiaries |
257 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
154 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7655 |