National Provider Identifier [NPI]: |
1396850921 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
SARA |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
PHYSICIAN ASSISTANT |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1321 MURFREESBORO PIKE |
Street Address 2 Of The Provider |
SUITE 510 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372172626 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
624 |
Number Of Medicare Beneficiaries |
180 |
Total Submitted Charge Amount |
144514 |
Total Medicare Allowed Amount |
31518.12 |
Total Medicare Payment Amount |
24548.74 |
Total Medicare Standardized Payment Amount |
27459.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
175 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
6440 |
Total Drug Medicare AllowedAmount |
1553.34 |
Total Drug Medicare PaymentAmount |
1217.88 |
Total Drug Medicare Standardized Payment Amount |
1217.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
449 |
Number Of Medicare Beneficiaries With Medical Services |
180 |
Total Medical Submitted Charge Amount |
138074 |
Total Medical Medicare Allowed Amount |
29964.78 |
Total Medical Medicare Payment Amount |
23330.86 |
Total Medical Medicare Standardized Payment Amount |
26241.49 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
83 |
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
123 |
Number Of Male Beneficiaries |
57 |
Number Of Non Hispanic White Beneficiaries |
168 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
126 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4119 |