National Provider Identifier [NPI]: |
1568693067 |
Last Name Of The Provider |
ALTAY |
First Name Of The Provider |
AHMET |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
620 SKYLINE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
383013923 |
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 |
20 |
Number Of Services |
2574 |
Number Of Medicare Beneficiaries |
917 |
Total Submitted Charge Amount |
646507 |
Total Medicare Allowed Amount |
268748.82 |
Total Medicare Payment Amount |
209494.17 |
Total Medicare Standardized Payment Amount |
221166.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2574 |
Number Of Medicare Beneficiaries With Medical Services |
917 |
Total Medical Submitted Charge Amount |
646507 |
Total Medical Medicare Allowed Amount |
268748.82 |
Total Medical Medicare Payment Amount |
209494.17 |
Total Medical Medicare Standardized Payment Amount |
221166.76 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
237 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
471 |
Number Of Male Beneficiaries |
446 |
Number Of Non Hispanic White Beneficiaries |
749 |
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 |
495 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
422 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.4457 |