Medicare Facts for Dr. Thomas M. Helton, MD


National Provider Identifier [NPI]: 1881624450
Last Name Of The Provider HELTON
First Name Of The Provider THOMAS
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1034 N HIGHLAND AVE
Street Address 2 Of The Provider SUITE C
City Of The Provider MURFREESBORO
Zip Code Of The Provider 371302463
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 117
Number Of Services 6632.5
Number Of Medicare Beneficiaries 854
Total Submitted Charge Amount 492558.19
Total Medicare Allowed Amount 367133.48
Total Medicare Payment Amount 264475.75
Total Medicare Standardized Payment Amount 288105.05
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 23
Number Of Drug Services 1513.5
Number Of Medicare Beneficiaries With Drug Services 334
Total Drug Submitted ChargeAmount 19348.89
Total Drug Medicare AllowedAmount 7260.7
Total Drug Medicare PaymentAmount 6054.13
Total Drug Medicare Standardized Payment Amount 6054.13
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 94
Number Of Medical Services 5119
Number Of Medicare Beneficiaries With Medical Services 854
Total Medical Submitted Charge Amount 473209.3
Total Medical Medicare Allowed Amount 359872.78
Total Medical Medicare Payment Amount 258421.62
Total Medical Medicare Standardized Payment Amount 282050.92
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 223
Number Of Beneficiaries Age 65 to 74 334
Number Of Beneficiaries Age 75 to 84 193
Number Of Beneficiaries Age Greater 84 104
Number Of Female Beneficiaries 526
Number Of Male Beneficiaries 328
Number Of Non Hispanic White Beneficiaries 738
Number Of Black or African American Beneficiaries 83
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 17
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 597
Number Of Beneficiaries With Medicare Medicaid Entitlement 257
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 19
Percent Of With Asthma 7
Percent Of With Cancer 7
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 35
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.3081

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