National Provider Identifier [NPI]: |
1841418860 |
Last Name Of The Provider |
LEWIS |
First Name Of The Provider |
RODNEY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 22ND AVE N |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372031852 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
5574 |
Number Of Medicare Beneficiaries |
276 |
Total Submitted Charge Amount |
254505.5 |
Total Medicare Allowed Amount |
130674.11 |
Total Medicare Payment Amount |
108847.69 |
Total Medicare Standardized Payment Amount |
112801.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1627 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
3490.5 |
Total Drug Medicare AllowedAmount |
2970.05 |
Total Drug Medicare PaymentAmount |
2842.13 |
Total Drug Medicare Standardized Payment Amount |
2842.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
3947 |
Number Of Medicare Beneficiaries With Medical Services |
276 |
Total Medical Submitted Charge Amount |
251015 |
Total Medical Medicare Allowed Amount |
127704.06 |
Total Medical Medicare Payment Amount |
106005.56 |
Total Medical Medicare Standardized Payment Amount |
109959.42 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
122 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
228 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.015 |