National Provider Identifier [NPI]: |
1912093311 |
Last Name Of The Provider |
THWING |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 Y STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENEVILLE |
Zip Code Of The Provider |
37743 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
6381 |
Number Of Medicare Beneficiaries |
263 |
Total Submitted Charge Amount |
325662 |
Total Medicare Allowed Amount |
165882.68 |
Total Medicare Payment Amount |
127977.07 |
Total Medicare Standardized Payment Amount |
135549.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1703 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
34835 |
Total Drug Medicare AllowedAmount |
23752.54 |
Total Drug Medicare PaymentAmount |
18865.07 |
Total Drug Medicare Standardized Payment Amount |
18865.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
132 |
Number Of Medical Services |
4678 |
Number Of Medicare Beneficiaries With Medical Services |
262 |
Total Medical Submitted Charge Amount |
290827 |
Total Medical Medicare Allowed Amount |
142130.14 |
Total Medical Medicare Payment Amount |
109112 |
Total Medical Medicare Standardized Payment Amount |
116684.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
153 |
Number Of Male Beneficiaries |
110 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
231 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9405 |