National Provider Identifier [NPI]: |
1184612244 |
Last Name Of The Provider |
BRAHNEY |
First Name Of The Provider |
JODY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5301 VIRGINIA WAY |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BRENTWOOD |
Zip Code Of The Provider |
370277541 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
5125 |
Number Of Medicare Beneficiaries |
1937 |
Total Submitted Charge Amount |
524337.05 |
Total Medicare Allowed Amount |
190651.21 |
Total Medicare Payment Amount |
148330.32 |
Total Medicare Standardized Payment Amount |
122004.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
5125 |
Number Of Medicare Beneficiaries With Medical Services |
1937 |
Total Medical Submitted Charge Amount |
524337.05 |
Total Medical Medicare Allowed Amount |
190651.21 |
Total Medical Medicare Payment Amount |
148330.32 |
Total Medical Medicare Standardized Payment Amount |
122004.78 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
418 |
Number Of Beneficiaries Age 65 to 74 |
871 |
Number Of Beneficiaries Age 75 to 84 |
527 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
1060 |
Number Of Male Beneficiaries |
877 |
Number Of Non Hispanic White Beneficiaries |
1374 |
Number Of Black or African American Beneficiaries |
521 |
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 |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1489 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
448 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4942 |