National Provider Identifier [NPI]: |
1932128782 |
Last Name Of The Provider |
PICKETT |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 22ND AVE N |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372031852 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
4531 |
Number Of Medicare Beneficiaries |
1141 |
Total Submitted Charge Amount |
769287 |
Total Medicare Allowed Amount |
336893.69 |
Total Medicare Payment Amount |
253240.84 |
Total Medicare Standardized Payment Amount |
277328.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
4531 |
Number Of Medicare Beneficiaries With Medical Services |
1141 |
Total Medical Submitted Charge Amount |
769287 |
Total Medical Medicare Allowed Amount |
336893.69 |
Total Medical Medicare Payment Amount |
253240.84 |
Total Medical Medicare Standardized Payment Amount |
277328.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
393 |
Number Of Beneficiaries Age 75 to 84 |
421 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
532 |
Number Of Male Beneficiaries |
609 |
Number Of Non Hispanic White Beneficiaries |
992 |
Number Of Black or African American Beneficiaries |
129 |
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 |
1010 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
50 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5977 |