National Provider Identifier [NPI]: |
1700871480 |
Last Name Of The Provider |
APPLETON |
First Name Of The Provider |
NICOLAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4039 HIGHLAND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MILAN |
Zip Code Of The Provider |
383583485 |
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 |
118 |
Number Of Services |
10345 |
Number Of Medicare Beneficiaries |
1644 |
Total Submitted Charge Amount |
604504.99 |
Total Medicare Allowed Amount |
279871.16 |
Total Medicare Payment Amount |
201695.16 |
Total Medicare Standardized Payment Amount |
213384.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
2534 |
Number Of Medicare Beneficiaries With Drug Services |
344 |
Total Drug Submitted ChargeAmount |
29819.99 |
Total Drug Medicare AllowedAmount |
14307.54 |
Total Drug Medicare PaymentAmount |
11270.1 |
Total Drug Medicare Standardized Payment Amount |
11270.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
7811 |
Number Of Medicare Beneficiaries With Medical Services |
1643 |
Total Medical Submitted Charge Amount |
574685 |
Total Medical Medicare Allowed Amount |
265563.62 |
Total Medical Medicare Payment Amount |
190425.06 |
Total Medical Medicare Standardized Payment Amount |
202114.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
256 |
Number Of Beneficiaries Age 65 to 74 |
533 |
Number Of Beneficiaries Age 75 to 84 |
529 |
Number Of Beneficiaries Age Greater 84 |
326 |
Number Of Female Beneficiaries |
999 |
Number Of Male Beneficiaries |
645 |
Number Of Non Hispanic White Beneficiaries |
1425 |
Number Of Black or African American Beneficiaries |
200 |
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 |
1108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
536 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5834 |