National Provider Identifier [NPI]: |
1922280692 |
Last Name Of The Provider |
JOSEPH |
First Name Of The Provider |
MATHEW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 STEAM PLANT RD |
Street Address 2 Of The Provider |
STE 230 |
City Of The Provider |
GALLATIN |
Zip Code Of The Provider |
370663032 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
172802 |
Number Of Medicare Beneficiaries |
655 |
Total Submitted Charge Amount |
1995067 |
Total Medicare Allowed Amount |
1198223.18 |
Total Medicare Payment Amount |
935181.45 |
Total Medicare Standardized Payment Amount |
944718.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
62 |
Number Of Drug Services |
158632 |
Number Of Medicare Beneficiaries With Drug Services |
241 |
Total Drug Submitted ChargeAmount |
1250345 |
Total Drug Medicare AllowedAmount |
897958.4 |
Total Drug Medicare PaymentAmount |
699017.6 |
Total Drug Medicare Standardized Payment Amount |
699017.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
14170 |
Number Of Medicare Beneficiaries With Medical Services |
655 |
Total Medical Submitted Charge Amount |
744722 |
Total Medical Medicare Allowed Amount |
300264.78 |
Total Medical Medicare Payment Amount |
236163.85 |
Total Medical Medicare Standardized Payment Amount |
245701.03 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
275 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
388 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
627 |
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 |
493 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9027 |