National Provider Identifier [NPI]: |
1386648160 |
Last Name Of The Provider |
DRESKIN |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6130 SHALLOWFORD RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374217222 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
35705 |
Number Of Medicare Beneficiaries |
1527 |
Total Submitted Charge Amount |
2267054 |
Total Medicare Allowed Amount |
1249951.54 |
Total Medicare Payment Amount |
1096215.74 |
Total Medicare Standardized Payment Amount |
951730.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
592 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
8308 |
Total Drug Medicare AllowedAmount |
243.15 |
Total Drug Medicare PaymentAmount |
162.83 |
Total Drug Medicare Standardized Payment Amount |
162.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
35113 |
Number Of Medicare Beneficiaries With Medical Services |
1527 |
Total Medical Submitted Charge Amount |
2258746 |
Total Medical Medicare Allowed Amount |
1249708.39 |
Total Medical Medicare Payment Amount |
1096052.91 |
Total Medical Medicare Standardized Payment Amount |
951568.11 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
832 |
Number Of Beneficiaries Age 65 to 74 |
440 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
972 |
Number Of Male Beneficiaries |
555 |
Number Of Non Hispanic White Beneficiaries |
1364 |
Number Of Black or African American Beneficiaries |
143 |
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 |
802 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
725 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5346 |