National Provider Identifier [NPI]: |
1922003037 |
Last Name Of The Provider |
WEINSTEIN |
First Name Of The Provider |
JOSEPH |
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 |
4901 RALEIGH COMMON DRIVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
38128 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
6412 |
Number Of Medicare Beneficiaries |
1777 |
Total Submitted Charge Amount |
943152 |
Total Medicare Allowed Amount |
453321.38 |
Total Medicare Payment Amount |
337713.93 |
Total Medicare Standardized Payment Amount |
368035.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
507 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
63375 |
Total Drug Medicare AllowedAmount |
26861.13 |
Total Drug Medicare PaymentAmount |
20506.17 |
Total Drug Medicare Standardized Payment Amount |
20506.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5905 |
Number Of Medicare Beneficiaries With Medical Services |
1777 |
Total Medical Submitted Charge Amount |
879777 |
Total Medical Medicare Allowed Amount |
426460.25 |
Total Medical Medicare Payment Amount |
317207.76 |
Total Medical Medicare Standardized Payment Amount |
347528.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
315 |
Number Of Beneficiaries Age 65 to 74 |
678 |
Number Of Beneficiaries Age 75 to 84 |
568 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
904 |
Number Of Male Beneficiaries |
873 |
Number Of Non Hispanic White Beneficiaries |
1300 |
Number Of Black or African American Beneficiaries |
444 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1377 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
400 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9273 |