National Provider Identifier [NPI]: |
1912953555 |
Last Name Of The Provider |
METZMAN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3024 BUSINESS PARK CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOODLETTSVILLE |
Zip Code Of The Provider |
370723132 |
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 |
135 |
Number Of Services |
16871 |
Number Of Medicare Beneficiaries |
2984 |
Total Submitted Charge Amount |
1428380.3 |
Total Medicare Allowed Amount |
226963.19 |
Total Medicare Payment Amount |
171568.5 |
Total Medicare Standardized Payment Amount |
187586.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
12336 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
3541.66 |
Total Drug Medicare AllowedAmount |
3019.57 |
Total Drug Medicare PaymentAmount |
2293 |
Total Drug Medicare Standardized Payment Amount |
2293 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
4535 |
Number Of Medicare Beneficiaries With Medical Services |
2984 |
Total Medical Submitted Charge Amount |
1424838.64 |
Total Medical Medicare Allowed Amount |
223943.62 |
Total Medical Medicare Payment Amount |
169275.5 |
Total Medical Medicare Standardized Payment Amount |
185293.48 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
632 |
Number Of Beneficiaries Age 65 to 74 |
1097 |
Number Of Beneficiaries Age 75 to 84 |
863 |
Number Of Beneficiaries Age Greater 84 |
392 |
Number Of Female Beneficiaries |
1768 |
Number Of Male Beneficiaries |
1216 |
Number Of Non Hispanic White Beneficiaries |
2587 |
Number Of Black or African American Beneficiaries |
338 |
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 |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
2331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
653 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5768 |