Medicare Facts for Dr. Robert J. Capps, MD


National Provider Identifier [NPI]: 1336234376
Last Name Of The Provider CAPPS
First Name Of The Provider ROBERT
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4707 PAPERMILL DR
Street Address 2 Of The Provider SUITE 200
City Of The Provider KNOXVILLE
Zip Code Of The Provider 379091907
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 51
Number Of Services 21204
Number Of Medicare Beneficiaries 329
Total Submitted Charge Amount 496328.01
Total Medicare Allowed Amount 395900.87
Total Medicare Payment Amount 277778.18
Total Medicare Standardized Payment Amount 285647.37
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 15
Number Of Drug Services 18742
Number Of Medicare Beneficiaries With Drug Services 112
Total Drug Submitted ChargeAmount 388039.6
Total Drug Medicare AllowedAmount 307373.81
Total Drug Medicare PaymentAmount 215858.61
Total Drug Medicare Standardized Payment Amount 215858.61
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 36
Number Of Medical Services 2462
Number Of Medicare Beneficiaries With Medical Services 329
Total Medical Submitted Charge Amount 108288.41
Total Medical Medicare Allowed Amount 88527.06
Total Medical Medicare Payment Amount 61919.57
Total Medical Medicare Standardized Payment Amount 69788.76
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 60
Number Of Beneficiaries Age 65 to 74 159
Number Of Beneficiaries Age 75 to 84 87
Number Of Beneficiaries Age Greater 84 23
Number Of Female Beneficiaries 243
Number Of Male Beneficiaries 86
Number Of Non Hispanic White Beneficiaries 311
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 293
Number Of Beneficiaries With Medicare Medicaid Entitlement 36
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 7
Percent Of With Cancer 8
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 23
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 17
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2514

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