Medicare Facts for Dr. Russell E. Tanner, MD


National Provider Identifier [NPI]: 1871544486
Last Name Of The Provider TANNER
First Name Of The Provider RUSSELL
Middle Initial Of The Provider J
Credentials Of The Provider P.A.-C
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 808 WOODROW WILSON RAY CIR
Street Address 2 Of The Provider
City Of The Provider BRIDGEPORT
Zip Code Of The Provider 764262061
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 185
Number Of Medicare Beneficiaries 38
Total Submitted Charge Amount 6480
Total Medicare Allowed Amount 2806.66
Total Medicare Payment Amount 2360.7
Total Medicare Standardized Payment Amount 2658.3
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 35
Number Of Medicare Beneficiaries With Drug Services 13
Total Drug Submitted ChargeAmount 812
Total Drug Medicare AllowedAmount 203.91
Total Drug Medicare PaymentAmount 193.19
Total Drug Medicare Standardized Payment Amount 193.19
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 150
Number Of Medicare Beneficiaries With Medical Services 38
Total Medical Submitted Charge Amount 5668
Total Medical Medicare Allowed Amount 2602.75
Total Medical Medicare Payment Amount 2167.51
Total Medical Medicare Standardized Payment Amount 2465.11
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 22
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 23
Number Of Male Beneficiaries 15
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 32
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 29
Percent Of With Depression 29
Percent Of With Diabetes
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2417

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