National Provider Identifier [NPI]: |
1649362781 |
Last Name Of The Provider |
WEARNER |
First Name Of The Provider |
NEAL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5301 VIRGINIA WAY |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
BRENTWOOD |
Zip Code Of The Provider |
370277541 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
2801 |
Number Of Medicare Beneficiaries |
1146 |
Total Submitted Charge Amount |
393366.01 |
Total Medicare Allowed Amount |
130318.24 |
Total Medicare Payment Amount |
98202.56 |
Total Medicare Standardized Payment Amount |
72101.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2801 |
Number Of Medicare Beneficiaries With Medical Services |
1146 |
Total Medical Submitted Charge Amount |
393366.01 |
Total Medical Medicare Allowed Amount |
130318.24 |
Total Medical Medicare Payment Amount |
98202.56 |
Total Medical Medicare Standardized Payment Amount |
72101.74 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
257 |
Number Of Beneficiaries Age 65 to 74 |
488 |
Number Of Beneficiaries Age 75 to 84 |
316 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
629 |
Number Of Male Beneficiaries |
517 |
Number Of Non Hispanic White Beneficiaries |
1111 |
Number Of Black or African American Beneficiaries |
15 |
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 |
837 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
309 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2738 |