National Provider Identifier [NPI]: |
1659362960 |
Last Name Of The Provider |
AGUILLARD |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5050 POPLAR AVE |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381570101 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
4125 |
Number Of Medicare Beneficiaries |
1280 |
Total Submitted Charge Amount |
749769 |
Total Medicare Allowed Amount |
272762.2 |
Total Medicare Payment Amount |
203560.5 |
Total Medicare Standardized Payment Amount |
219265.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
944 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
2120 |
Total Drug Medicare AllowedAmount |
650.76 |
Total Drug Medicare PaymentAmount |
490.92 |
Total Drug Medicare Standardized Payment Amount |
490.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3181 |
Number Of Medicare Beneficiaries With Medical Services |
1280 |
Total Medical Submitted Charge Amount |
747649 |
Total Medical Medicare Allowed Amount |
272111.44 |
Total Medical Medicare Payment Amount |
203069.58 |
Total Medical Medicare Standardized Payment Amount |
218774.12 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
333 |
Number Of Beneficiaries Age 65 to 74 |
570 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
664 |
Number Of Male Beneficiaries |
616 |
Number Of Non Hispanic White Beneficiaries |
675 |
Number Of Black or African American Beneficiaries |
590 |
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 |
814 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
466 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
29 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.634 |