National Provider Identifier [NPI]: |
1609831916 |
Last Name Of The Provider |
MORRISON |
First Name Of The Provider |
JEFFERSON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 PATTERSON ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372031562 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
7227 |
Number Of Medicare Beneficiaries |
707 |
Total Submitted Charge Amount |
1766265 |
Total Medicare Allowed Amount |
586310.11 |
Total Medicare Payment Amount |
435695.9 |
Total Medicare Standardized Payment Amount |
460897.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
562 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
57957 |
Total Drug Medicare AllowedAmount |
35236.24 |
Total Drug Medicare PaymentAmount |
27226.77 |
Total Drug Medicare Standardized Payment Amount |
27226.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
6665 |
Number Of Medicare Beneficiaries With Medical Services |
707 |
Total Medical Submitted Charge Amount |
1708308 |
Total Medical Medicare Allowed Amount |
551073.87 |
Total Medical Medicare Payment Amount |
408469.13 |
Total Medical Medicare Standardized Payment Amount |
433671.19 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
393 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
653 |
Number Of Black or African American Beneficiaries |
42 |
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 |
642 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0411 |