National Provider Identifier [NPI]: |
1720077910 |
Last Name Of The Provider |
THOMAS |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
206 BEDFORD WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRANKLIN |
Zip Code Of The Provider |
370645526 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
9305 |
Number Of Medicare Beneficiaries |
1009 |
Total Submitted Charge Amount |
2919543.9 |
Total Medicare Allowed Amount |
608423.22 |
Total Medicare Payment Amount |
456302.95 |
Total Medicare Standardized Payment Amount |
497534.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
4655 |
Number Of Medicare Beneficiaries With Drug Services |
511 |
Total Drug Submitted ChargeAmount |
141968 |
Total Drug Medicare AllowedAmount |
48605.55 |
Total Drug Medicare PaymentAmount |
36452.26 |
Total Drug Medicare Standardized Payment Amount |
36452.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
4650 |
Number Of Medicare Beneficiaries With Medical Services |
1009 |
Total Medical Submitted Charge Amount |
2777575.9 |
Total Medical Medicare Allowed Amount |
559817.67 |
Total Medical Medicare Payment Amount |
419850.69 |
Total Medical Medicare Standardized Payment Amount |
461082.21 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
525 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
654 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
967 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
947 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9031 |