National Provider Identifier [NPI]: |
1750382362 |
Last Name Of The Provider |
LIU |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1940 ALCOA HWY |
Street Address 2 Of The Provider |
SUITE E-310 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379202244 |
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 |
82 |
Number Of Services |
5198 |
Number Of Medicare Beneficiaries |
1301 |
Total Submitted Charge Amount |
728627.75 |
Total Medicare Allowed Amount |
257372.89 |
Total Medicare Payment Amount |
192398.86 |
Total Medicare Standardized Payment Amount |
206938.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
4517.45 |
Total Drug Medicare AllowedAmount |
4330.99 |
Total Drug Medicare PaymentAmount |
3268.01 |
Total Drug Medicare Standardized Payment Amount |
3268.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
5115 |
Number Of Medicare Beneficiaries With Medical Services |
1301 |
Total Medical Submitted Charge Amount |
724110.3 |
Total Medical Medicare Allowed Amount |
253041.9 |
Total Medical Medicare Payment Amount |
189130.85 |
Total Medical Medicare Standardized Payment Amount |
203670.09 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
217 |
Number Of Beneficiaries Age 65 to 74 |
500 |
Number Of Beneficiaries Age 75 to 84 |
427 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
643 |
Number Of Male Beneficiaries |
658 |
Number Of Non Hispanic White Beneficiaries |
1230 |
Number Of Black or African American Beneficiaries |
52 |
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 |
1057 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
244 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7585 |