National Provider Identifier [NPI]: |
1043217060 |
Last Name Of The Provider |
ACREE |
First Name Of The Provider |
MARTIN |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1325 EASTMORELAND AVE |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381043519 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
2527 |
Number Of Medicare Beneficiaries |
359 |
Total Submitted Charge Amount |
237548 |
Total Medicare Allowed Amount |
84240.06 |
Total Medicare Payment Amount |
54595.39 |
Total Medicare Standardized Payment Amount |
60817.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
610 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
27398 |
Total Drug Medicare AllowedAmount |
11373.8 |
Total Drug Medicare PaymentAmount |
10754.75 |
Total Drug Medicare Standardized Payment Amount |
10754.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
1917 |
Number Of Medicare Beneficiaries With Medical Services |
359 |
Total Medical Submitted Charge Amount |
210150 |
Total Medical Medicare Allowed Amount |
72866.26 |
Total Medical Medicare Payment Amount |
43840.64 |
Total Medical Medicare Standardized Payment Amount |
50062.5 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
210 |
Number Of Male Beneficiaries |
149 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
247 |
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 |
246 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.207 |