National Provider Identifier [NPI]: |
1366462087 |
Last Name Of The Provider |
MESSICK |
First Name Of The Provider |
ASHLEY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
C-PA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 WILLIAM NORTHERN BLVD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
TULLAHOMA |
Zip Code Of The Provider |
373884754 |
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 |
48 |
Number Of Services |
5708.5 |
Number Of Medicare Beneficiaries |
762 |
Total Submitted Charge Amount |
271798.08 |
Total Medicare Allowed Amount |
200664.67 |
Total Medicare Payment Amount |
141352.42 |
Total Medicare Standardized Payment Amount |
179041.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
244.5 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
2414.4 |
Total Drug Medicare AllowedAmount |
437.19 |
Total Drug Medicare PaymentAmount |
309.12 |
Total Drug Medicare Standardized Payment Amount |
309.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
5464 |
Number Of Medicare Beneficiaries With Medical Services |
762 |
Total Medical Submitted Charge Amount |
269383.68 |
Total Medical Medicare Allowed Amount |
200227.48 |
Total Medical Medicare Payment Amount |
141043.3 |
Total Medical Medicare Standardized Payment Amount |
178732 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
469 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
745 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9878 |