National Provider Identifier [NPI]: |
1518914753 |
Last Name Of The Provider |
MCMILLIN |
First Name Of The Provider |
JUNE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 N WINSTON RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379193606 |
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 |
24 |
Number Of Services |
1162 |
Number Of Medicare Beneficiaries |
756 |
Total Submitted Charge Amount |
1432455 |
Total Medicare Allowed Amount |
145064.39 |
Total Medicare Payment Amount |
111907.04 |
Total Medicare Standardized Payment Amount |
116622.71 |
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 |
24 |
Number Of Medical Services |
1162 |
Number Of Medicare Beneficiaries With Medical Services |
756 |
Total Medical Submitted Charge Amount |
1432455 |
Total Medical Medicare Allowed Amount |
145064.39 |
Total Medical Medicare Payment Amount |
111907.04 |
Total Medical Medicare Standardized Payment Amount |
116622.71 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
244 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
191 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
442 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
709 |
Number Of Black or African American Beneficiaries |
32 |
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 |
398 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
358 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8644 |