National Provider Identifier [NPI]: |
1265531651 |
Last Name Of The Provider |
HALL |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 HOSPITAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TRENTON |
Zip Code Of The Provider |
383823319 |
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 |
59 |
Number Of Services |
4528 |
Number Of Medicare Beneficiaries |
794 |
Total Submitted Charge Amount |
892092 |
Total Medicare Allowed Amount |
189275.96 |
Total Medicare Payment Amount |
135748 |
Total Medicare Standardized Payment Amount |
144922.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
2096 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
14154 |
Total Drug Medicare AllowedAmount |
1000.99 |
Total Drug Medicare PaymentAmount |
763.55 |
Total Drug Medicare Standardized Payment Amount |
763.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2432 |
Number Of Medicare Beneficiaries With Medical Services |
794 |
Total Medical Submitted Charge Amount |
877938 |
Total Medical Medicare Allowed Amount |
188274.97 |
Total Medical Medicare Payment Amount |
134984.45 |
Total Medical Medicare Standardized Payment Amount |
144159.29 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
459 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
612 |
Number Of Black or African American Beneficiaries |
171 |
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 |
489 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
305 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6645 |