National Provider Identifier [NPI]: |
1184677346 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1050 N JAMES CAMPBELL BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
384012754 |
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 |
141 |
Number Of Services |
10529 |
Number Of Medicare Beneficiaries |
912 |
Total Submitted Charge Amount |
1875703 |
Total Medicare Allowed Amount |
537041.09 |
Total Medicare Payment Amount |
400131.48 |
Total Medicare Standardized Payment Amount |
421873.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3321 |
Number Of Medicare Beneficiaries With Drug Services |
477 |
Total Drug Submitted ChargeAmount |
79506 |
Total Drug Medicare AllowedAmount |
35838.31 |
Total Drug Medicare PaymentAmount |
27350.55 |
Total Drug Medicare Standardized Payment Amount |
27350.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
135 |
Number Of Medical Services |
7208 |
Number Of Medicare Beneficiaries With Medical Services |
912 |
Total Medical Submitted Charge Amount |
1796197 |
Total Medical Medicare Allowed Amount |
501202.78 |
Total Medical Medicare Payment Amount |
372780.93 |
Total Medical Medicare Standardized Payment Amount |
394523.04 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
390 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
575 |
Number Of Male Beneficiaries |
337 |
Number Of Non Hispanic White Beneficiaries |
849 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
774 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1909 |