National Provider Identifier [NPI]: |
1295726636 |
Last Name Of The Provider |
ARKIN |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
540 TRINITY CREEK CV |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORDOVA |
Zip Code Of The Provider |
380182279 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
70049 |
Number Of Medicare Beneficiaries |
672 |
Total Submitted Charge Amount |
2363809 |
Total Medicare Allowed Amount |
1224122.17 |
Total Medicare Payment Amount |
944457.91 |
Total Medicare Standardized Payment Amount |
962242.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
57205 |
Number Of Medicare Beneficiaries With Drug Services |
324 |
Total Drug Submitted ChargeAmount |
1498805 |
Total Drug Medicare AllowedAmount |
963885.56 |
Total Drug Medicare PaymentAmount |
749824.78 |
Total Drug Medicare Standardized Payment Amount |
749824.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
12844 |
Number Of Medicare Beneficiaries With Medical Services |
672 |
Total Medical Submitted Charge Amount |
865004 |
Total Medical Medicare Allowed Amount |
260236.61 |
Total Medical Medicare Payment Amount |
194633.13 |
Total Medical Medicare Standardized Payment Amount |
212417.58 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
271 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
514 |
Number Of Male Beneficiaries |
158 |
Number Of Non Hispanic White Beneficiaries |
595 |
Number Of Black or African American Beneficiaries |
59 |
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 |
641 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2514 |