National Provider Identifier [NPI]: |
1336230424 |
Last Name Of The Provider |
LIGGETT |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3443 DICKERSON PIKE |
Street Address 2 Of The Provider |
STE 760 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372072519 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
234691 |
Number Of Medicare Beneficiaries |
705 |
Total Submitted Charge Amount |
2950347 |
Total Medicare Allowed Amount |
1801014.68 |
Total Medicare Payment Amount |
1380405.11 |
Total Medicare Standardized Payment Amount |
1387391.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
70 |
Number Of Drug Services |
208725 |
Number Of Medicare Beneficiaries With Drug Services |
283 |
Total Drug Submitted ChargeAmount |
2075983 |
Total Drug Medicare AllowedAmount |
1482935.57 |
Total Drug Medicare PaymentAmount |
1128962.16 |
Total Drug Medicare Standardized Payment Amount |
1128962.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
25966 |
Number Of Medicare Beneficiaries With Medical Services |
705 |
Total Medical Submitted Charge Amount |
874364 |
Total Medical Medicare Allowed Amount |
318079.11 |
Total Medical Medicare Payment Amount |
251442.95 |
Total Medical Medicare Standardized Payment Amount |
258429.62 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
269 |
Number Of Non Hispanic White Beneficiaries |
650 |
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 |
598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8142 |