National Provider Identifier [NPI]: |
1265658629 |
Last Name Of The Provider |
LAW |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5050 POPLAR AVE |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381570101 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3450 |
Number Of Medicare Beneficiaries |
886 |
Total Submitted Charge Amount |
670658.5 |
Total Medicare Allowed Amount |
238136.34 |
Total Medicare Payment Amount |
180780.34 |
Total Medicare Standardized Payment Amount |
192212.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
461 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
722.5 |
Total Drug Medicare AllowedAmount |
298.96 |
Total Drug Medicare PaymentAmount |
274.67 |
Total Drug Medicare Standardized Payment Amount |
274.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2989 |
Number Of Medicare Beneficiaries With Medical Services |
886 |
Total Medical Submitted Charge Amount |
669936 |
Total Medical Medicare Allowed Amount |
237837.38 |
Total Medical Medicare Payment Amount |
180505.67 |
Total Medical Medicare Standardized Payment Amount |
191937.81 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
320 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
405 |
Number Of Non Hispanic White Beneficiaries |
506 |
Number Of Black or African American Beneficiaries |
362 |
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 |
542 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
344 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
37 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
71 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
55 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.8044 |