National Provider Identifier [NPI]: |
1033192992 |
Last Name Of The Provider |
FINN |
First Name Of The Provider |
CARY |
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 |
6025 WALNUT GROVE RD |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381202131 |
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 |
112 |
Number Of Services |
9201 |
Number Of Medicare Beneficiaries |
1289 |
Total Submitted Charge Amount |
684568.98 |
Total Medicare Allowed Amount |
397619.82 |
Total Medicare Payment Amount |
303212.3 |
Total Medicare Standardized Payment Amount |
325629.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
705 |
Number Of Medicare Beneficiaries With Drug Services |
273 |
Total Drug Submitted ChargeAmount |
14560.98 |
Total Drug Medicare AllowedAmount |
6055.66 |
Total Drug Medicare PaymentAmount |
5343.69 |
Total Drug Medicare Standardized Payment Amount |
5343.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
8496 |
Number Of Medicare Beneficiaries With Medical Services |
1289 |
Total Medical Submitted Charge Amount |
670008 |
Total Medical Medicare Allowed Amount |
391564.16 |
Total Medical Medicare Payment Amount |
297868.61 |
Total Medical Medicare Standardized Payment Amount |
320286.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
627 |
Number Of Beneficiaries Age 75 to 84 |
381 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
729 |
Number Of Male Beneficiaries |
560 |
Number Of Non Hispanic White Beneficiaries |
1172 |
Number Of Black or African American Beneficiaries |
100 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
1206 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0671 |