National Provider Identifier [NPI]: |
1598718330 |
Last Name Of The Provider |
WEST |
First Name Of The Provider |
WILLARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1425 W BADDOUR PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEBANON |
Zip Code Of The Provider |
370872513 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
10389 |
Number Of Medicare Beneficiaries |
880 |
Total Submitted Charge Amount |
1092530 |
Total Medicare Allowed Amount |
560901.25 |
Total Medicare Payment Amount |
421175.89 |
Total Medicare Standardized Payment Amount |
445982.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
24 |
Number Of Drug Services |
1225 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
25478 |
Total Drug Medicare AllowedAmount |
5568.52 |
Total Drug Medicare PaymentAmount |
4375.41 |
Total Drug Medicare Standardized Payment Amount |
4375.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
9164 |
Number Of Medicare Beneficiaries With Medical Services |
880 |
Total Medical Submitted Charge Amount |
1067052 |
Total Medical Medicare Allowed Amount |
555332.73 |
Total Medical Medicare Payment Amount |
416800.48 |
Total Medical Medicare Standardized Payment Amount |
441606.89 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
339 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
359 |
Number Of Non Hispanic White Beneficiaries |
781 |
Number Of Black or African American Beneficiaries |
|
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 |
445 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
435 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9066 |