National Provider Identifier [NPI]: |
1518914951 |
Last Name Of The Provider |
MESMER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
990 OAK RIDGE TPKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAK RIDGE |
Zip Code Of The Provider |
378306976 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
1379 |
Number Of Medicare Beneficiaries |
1154 |
Total Submitted Charge Amount |
1212344 |
Total Medicare Allowed Amount |
191698.88 |
Total Medicare Payment Amount |
146674.49 |
Total Medicare Standardized Payment Amount |
154731.76 |
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 |
45 |
Number Of Medical Services |
1379 |
Number Of Medicare Beneficiaries With Medical Services |
1154 |
Total Medical Submitted Charge Amount |
1212344 |
Total Medical Medicare Allowed Amount |
191698.88 |
Total Medical Medicare Payment Amount |
146674.49 |
Total Medical Medicare Standardized Payment Amount |
154731.76 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
359 |
Number Of Beneficiaries Age Greater 84 |
239 |
Number Of Female Beneficiaries |
669 |
Number Of Male Beneficiaries |
485 |
Number Of Non Hispanic White Beneficiaries |
1089 |
Number Of Black or African American Beneficiaries |
38 |
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 |
895 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
259 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8502 |