National Provider Identifier [NPI]: |
1467457861 |
Last Name Of The Provider |
PLEMMONS |
First Name Of The Provider |
RITA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
316 MARKETPLACE DR |
Street Address 2 Of The Provider |
SUITE 20 |
City Of The Provider |
JOHNSON CITY |
Zip Code Of The Provider |
376048934 |
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 |
46 |
Number Of Services |
1767 |
Number Of Medicare Beneficiaries |
411 |
Total Submitted Charge Amount |
297226 |
Total Medicare Allowed Amount |
101080.48 |
Total Medicare Payment Amount |
71941.65 |
Total Medicare Standardized Payment Amount |
79469.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
294 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
7384 |
Total Drug Medicare AllowedAmount |
3545.07 |
Total Drug Medicare PaymentAmount |
3418.71 |
Total Drug Medicare Standardized Payment Amount |
3418.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1473 |
Number Of Medicare Beneficiaries With Medical Services |
410 |
Total Medical Submitted Charge Amount |
289842 |
Total Medical Medicare Allowed Amount |
97535.41 |
Total Medical Medicare Payment Amount |
68522.94 |
Total Medical Medicare Standardized Payment Amount |
76050.87 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
399 |
Number Of Black or African American Beneficiaries |
|
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 |
280 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.147 |