National Provider Identifier [NPI]: |
1821095761 |
Last Name Of The Provider |
STRANGE |
First Name Of The Provider |
ERNEST |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 PROFESSIONAL PLAZA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENEVILLE |
Zip Code Of The Provider |
377455139 |
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 |
46 |
Number Of Services |
2188 |
Number Of Medicare Beneficiaries |
250 |
Total Submitted Charge Amount |
187252.56 |
Total Medicare Allowed Amount |
119993.4 |
Total Medicare Payment Amount |
85806.17 |
Total Medicare Standardized Payment Amount |
95058.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
406 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
6979.35 |
Total Drug Medicare AllowedAmount |
2179.5 |
Total Drug Medicare PaymentAmount |
1628.59 |
Total Drug Medicare Standardized Payment Amount |
1628.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1782 |
Number Of Medicare Beneficiaries With Medical Services |
250 |
Total Medical Submitted Charge Amount |
180273.21 |
Total Medical Medicare Allowed Amount |
117813.9 |
Total Medical Medicare Payment Amount |
84177.58 |
Total Medical Medicare Standardized Payment Amount |
93430.27 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
102 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
130 |
Number Of Male Beneficiaries |
120 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
213 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
22 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0954 |