National Provider Identifier [NPI]: |
1881634723 |
Last Name Of The Provider |
HILL |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10810 PARKSIDE DR |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379341979 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
5569 |
Number Of Medicare Beneficiaries |
2064 |
Total Submitted Charge Amount |
448188 |
Total Medicare Allowed Amount |
175343.48 |
Total Medicare Payment Amount |
132418.45 |
Total Medicare Standardized Payment Amount |
140886.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
204 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
7667 |
Total Drug Medicare AllowedAmount |
4815.32 |
Total Drug Medicare PaymentAmount |
4665.97 |
Total Drug Medicare Standardized Payment Amount |
4665.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
5365 |
Number Of Medicare Beneficiaries With Medical Services |
2064 |
Total Medical Submitted Charge Amount |
440521 |
Total Medical Medicare Allowed Amount |
170528.16 |
Total Medical Medicare Payment Amount |
127752.48 |
Total Medical Medicare Standardized Payment Amount |
136220.09 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
538 |
Number Of Beneficiaries Age 65 to 74 |
792 |
Number Of Beneficiaries Age 75 to 84 |
511 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
1166 |
Number Of Male Beneficiaries |
898 |
Number Of Non Hispanic White Beneficiaries |
1980 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1172 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
892 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4217 |