National Provider Identifier [NPI]: |
1033398532 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
DREW |
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 |
939 E EMERALD AVE |
Street Address 2 Of The Provider |
SUITE 705 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379174540 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
6912 |
Number Of Medicare Beneficiaries |
1148 |
Total Submitted Charge Amount |
1179484.85 |
Total Medicare Allowed Amount |
535931.58 |
Total Medicare Payment Amount |
391054.21 |
Total Medicare Standardized Payment Amount |
420227.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
193 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
22852 |
Total Drug Medicare AllowedAmount |
19177.34 |
Total Drug Medicare PaymentAmount |
14909.99 |
Total Drug Medicare Standardized Payment Amount |
14909.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
6719 |
Number Of Medicare Beneficiaries With Medical Services |
1148 |
Total Medical Submitted Charge Amount |
1156632.85 |
Total Medical Medicare Allowed Amount |
516754.24 |
Total Medical Medicare Payment Amount |
376144.22 |
Total Medical Medicare Standardized Payment Amount |
405317.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
544 |
Number Of Beneficiaries Age 75 to 84 |
367 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
502 |
Number Of Male Beneficiaries |
646 |
Number Of Non Hispanic White Beneficiaries |
1117 |
Number Of Black or African American Beneficiaries |
|
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 |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1045 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9786 |