National Provider Identifier [NPI]: |
1386639425 |
Last Name Of The Provider |
SPRINGER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11416 GRIGSBY CHAPEL RD |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379341679 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
2770 |
Number Of Medicare Beneficiaries |
376 |
Total Submitted Charge Amount |
73188.83 |
Total Medicare Allowed Amount |
28327.29 |
Total Medicare Payment Amount |
19822.32 |
Total Medicare Standardized Payment Amount |
21479.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
357.83 |
Total Drug Medicare AllowedAmount |
134.45 |
Total Drug Medicare PaymentAmount |
131.2 |
Total Drug Medicare Standardized Payment Amount |
131.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
2737 |
Number Of Medicare Beneficiaries With Medical Services |
376 |
Total Medical Submitted Charge Amount |
72831 |
Total Medical Medicare Allowed Amount |
28192.84 |
Total Medical Medicare Payment Amount |
19691.12 |
Total Medical Medicare Standardized Payment Amount |
21347.82 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
243 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
256 |
Number Of Male Beneficiaries |
120 |
Number Of Non Hispanic White Beneficiaries |
356 |
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 |
348 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7317 |