Medicare Facts for Dr. David G. Sexton, MD


National Provider Identifier [NPI]: 1487658969
Last Name Of The Provider SEXTON
First Name Of The Provider DAVID
Middle Initial Of The Provider G
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 9430 PARK WEST BLVD
Street Address 2 Of The Provider STE 330
City Of The Provider KNOXVILLE
Zip Code Of The Provider 379234203
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Otolaryngology
Medicare Participation Indicator Y
Number Of HCPCS 71
Number Of Services 2038
Number Of Medicare Beneficiaries 629
Total Submitted Charge Amount 544466.4
Total Medicare Allowed Amount 161759.16
Total Medicare Payment Amount 119329.57
Total Medicare Standardized Payment Amount 123680.62
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 27
Number Of Medicare Beneficiaries With Drug Services 13
Total Drug Submitted ChargeAmount 510
Total Drug Medicare AllowedAmount 120.24
Total Drug Medicare PaymentAmount 89.78
Total Drug Medicare Standardized Payment Amount 89.78
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 69
Number Of Medical Services 2011
Number Of Medicare Beneficiaries With Medical Services 629
Total Medical Submitted Charge Amount 543956.4
Total Medical Medicare Allowed Amount 161638.92
Total Medical Medicare Payment Amount 119239.79
Total Medical Medicare Standardized Payment Amount 123590.84
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 68
Number Of Beneficiaries Age 65 to 74 299
Number Of Beneficiaries Age 75 to 84 184
Number Of Beneficiaries Age Greater 84 78
Number Of Female Beneficiaries 369
Number Of Male Beneficiaries 260
Number Of Non Hispanic White Beneficiaries 591
Number Of Black or African American Beneficiaries 20
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 571
Number Of Beneficiaries With Medicare Medicaid Entitlement 58
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 8
Percent Of With Cancer 8
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 20
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0371

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