National Provider Identifier [NPI]: |
1356307490 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1114 E WEISGARBER RD |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379092648 |
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 |
31 |
Number Of Services |
18985 |
Number Of Medicare Beneficiaries |
393 |
Total Submitted Charge Amount |
425746.4 |
Total Medicare Allowed Amount |
239061.31 |
Total Medicare Payment Amount |
175752.31 |
Total Medicare Standardized Payment Amount |
184819.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
111 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
2219 |
Total Drug Medicare AllowedAmount |
1336.44 |
Total Drug Medicare PaymentAmount |
1309.8 |
Total Drug Medicare Standardized Payment Amount |
1309.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
18874 |
Number Of Medicare Beneficiaries With Medical Services |
393 |
Total Medical Submitted Charge Amount |
423527.4 |
Total Medical Medicare Allowed Amount |
237724.87 |
Total Medical Medicare Payment Amount |
174442.51 |
Total Medical Medicare Standardized Payment Amount |
183510.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
250 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
370 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
34 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7499 |