National Provider Identifier [NPI]: |
1760468128 |
Last Name Of The Provider |
BRADY |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9430 PARKWEST BLVD |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
37923 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
3328 |
Number Of Medicare Beneficiaries |
759 |
Total Submitted Charge Amount |
1331393 |
Total Medicare Allowed Amount |
277834.54 |
Total Medicare Payment Amount |
205829.95 |
Total Medicare Standardized Payment Amount |
225430.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
584 |
Number Of Medicare Beneficiaries With Drug Services |
340 |
Total Drug Submitted ChargeAmount |
19808 |
Total Drug Medicare AllowedAmount |
10939.23 |
Total Drug Medicare PaymentAmount |
8324.75 |
Total Drug Medicare Standardized Payment Amount |
8324.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
2744 |
Number Of Medicare Beneficiaries With Medical Services |
758 |
Total Medical Submitted Charge Amount |
1311585 |
Total Medical Medicare Allowed Amount |
266895.31 |
Total Medical Medicare Payment Amount |
197505.2 |
Total Medical Medicare Standardized Payment Amount |
217105.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
372 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
461 |
Number Of Male Beneficiaries |
298 |
Number Of Non Hispanic White Beneficiaries |
721 |
Number Of Black or African American Beneficiaries |
19 |
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 |
694 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0316 |