National Provider Identifier [NPI]: |
1306821947 |
Last Name Of The Provider |
ANDREESCU |
First Name Of The Provider |
OANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2051 HAMILL RD |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
HIXSON |
Zip Code Of The Provider |
373436606 |
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 |
75 |
Number Of Services |
4989 |
Number Of Medicare Beneficiaries |
434 |
Total Submitted Charge Amount |
373380 |
Total Medicare Allowed Amount |
176400.71 |
Total Medicare Payment Amount |
130895.25 |
Total Medicare Standardized Payment Amount |
141376.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
328 |
Number Of Medicare Beneficiaries With Drug Services |
198 |
Total Drug Submitted ChargeAmount |
15081 |
Total Drug Medicare AllowedAmount |
7132.58 |
Total Drug Medicare PaymentAmount |
6778.05 |
Total Drug Medicare Standardized Payment Amount |
6778.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
4661 |
Number Of Medicare Beneficiaries With Medical Services |
434 |
Total Medical Submitted Charge Amount |
358299 |
Total Medical Medicare Allowed Amount |
169268.13 |
Total Medical Medicare Payment Amount |
124117.2 |
Total Medical Medicare Standardized Payment Amount |
134598.04 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
119 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
132 |
Number Of Non Hispanic White Beneficiaries |
396 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0203 |