National Provider Identifier [NPI]: |
1033191846 |
Last Name Of The Provider |
SEAY |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 VERMONT AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAK RIDGE |
Zip Code Of The Provider |
378306471 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
8920 |
Number Of Medicare Beneficiaries |
811 |
Total Submitted Charge Amount |
632629 |
Total Medicare Allowed Amount |
289264.73 |
Total Medicare Payment Amount |
221150.68 |
Total Medicare Standardized Payment Amount |
235148.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
896 |
Number Of Medicare Beneficiaries With Drug Services |
423 |
Total Drug Submitted ChargeAmount |
42733 |
Total Drug Medicare AllowedAmount |
20954.1 |
Total Drug Medicare PaymentAmount |
20218.65 |
Total Drug Medicare Standardized Payment Amount |
20218.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
8024 |
Number Of Medicare Beneficiaries With Medical Services |
811 |
Total Medical Submitted Charge Amount |
589896 |
Total Medical Medicare Allowed Amount |
268310.63 |
Total Medical Medicare Payment Amount |
200932.03 |
Total Medical Medicare Standardized Payment Amount |
214929.77 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
273 |
Number Of Beneficiaries Age Greater 84 |
184 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
399 |
Number Of Non Hispanic White Beneficiaries |
770 |
Number Of Black or African American Beneficiaries |
26 |
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 |
793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9403 |