National Provider Identifier [NPI]: |
1669553764 |
Last Name Of The Provider |
BILYEU |
First Name Of The Provider |
SAMUEL |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2001 LAUREL AVE # N304 |
Street Address 2 Of The Provider |
|
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379161810 |
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 |
156 |
Number Of Services |
6059 |
Number Of Medicare Beneficiaries |
3862 |
Total Submitted Charge Amount |
796784.72 |
Total Medicare Allowed Amount |
204461.99 |
Total Medicare Payment Amount |
148259.68 |
Total Medicare Standardized Payment Amount |
159440.62 |
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 |
156 |
Number Of Medical Services |
6059 |
Number Of Medicare Beneficiaries With Medical Services |
3862 |
Total Medical Submitted Charge Amount |
796784.72 |
Total Medical Medicare Allowed Amount |
204461.99 |
Total Medical Medicare Payment Amount |
148259.68 |
Total Medical Medicare Standardized Payment Amount |
159440.62 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
1081 |
Number Of Beneficiaries Age 65 to 74 |
1429 |
Number Of Beneficiaries Age 75 to 84 |
948 |
Number Of Beneficiaries Age Greater 84 |
404 |
Number Of Female Beneficiaries |
2159 |
Number Of Male Beneficiaries |
1703 |
Number Of Non Hispanic White Beneficiaries |
3702 |
Number Of Black or African American Beneficiaries |
115 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
2407 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1455 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5103 |