National Provider Identifier [NPI]: |
1972534295 |
Last Name Of The Provider |
ROTHWELL |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
744 MIDDLE CREEK RD |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
SEVIERVILLE |
Zip Code Of The Provider |
37862 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
2433 |
Number Of Medicare Beneficiaries |
406 |
Total Submitted Charge Amount |
113316 |
Total Medicare Allowed Amount |
52807.77 |
Total Medicare Payment Amount |
32260.13 |
Total Medicare Standardized Payment Amount |
35577.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1446 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
6294 |
Total Drug Medicare AllowedAmount |
347.43 |
Total Drug Medicare PaymentAmount |
212.67 |
Total Drug Medicare Standardized Payment Amount |
212.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
987 |
Number Of Medicare Beneficiaries With Medical Services |
406 |
Total Medical Submitted Charge Amount |
107022 |
Total Medical Medicare Allowed Amount |
52460.34 |
Total Medical Medicare Payment Amount |
32047.46 |
Total Medical Medicare Standardized Payment Amount |
35364.44 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
158 |
Number Of Non Hispanic White Beneficiaries |
395 |
Number Of Black or African American Beneficiaries |
|
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 |
385 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8883 |