National Provider Identifier [NPI]: |
1811996358 |
Last Name Of The Provider |
BRIGGS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
215 BLOUNT MEMORIAL HOSPITAL |
Street Address 2 Of The Provider |
CANCER CENTER |
City Of The Provider |
MARYVILLE |
Zip Code Of The Provider |
37804 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
4114 |
Number Of Medicare Beneficiaries |
639 |
Total Submitted Charge Amount |
612635.01 |
Total Medicare Allowed Amount |
229988.32 |
Total Medicare Payment Amount |
172880.58 |
Total Medicare Standardized Payment Amount |
183099.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
722 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
181252 |
Total Drug Medicare AllowedAmount |
62606.01 |
Total Drug Medicare PaymentAmount |
48534.02 |
Total Drug Medicare Standardized Payment Amount |
48534.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
3392 |
Number Of Medicare Beneficiaries With Medical Services |
639 |
Total Medical Submitted Charge Amount |
431383.01 |
Total Medical Medicare Allowed Amount |
167382.31 |
Total Medical Medicare Payment Amount |
124346.56 |
Total Medical Medicare Standardized Payment Amount |
134565.24 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
144 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
610 |
Number Of Black or African American Beneficiaries |
16 |
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 |
556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2369 |