National Provider Identifier [NPI]: |
1386663144 |
Last Name Of The Provider |
THOMPSON |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4323 CAROTHERS PKWY |
Street Address 2 Of The Provider |
SUITE 308 |
City Of The Provider |
FRANKLIN |
Zip Code Of The Provider |
370675914 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1293 |
Number Of Medicare Beneficiaries |
767 |
Total Submitted Charge Amount |
282012 |
Total Medicare Allowed Amount |
86824.57 |
Total Medicare Payment Amount |
64679.44 |
Total Medicare Standardized Payment Amount |
70094.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
45 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
4384 |
Total Drug Medicare AllowedAmount |
2199.42 |
Total Drug Medicare PaymentAmount |
1724.34 |
Total Drug Medicare Standardized Payment Amount |
1724.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1248 |
Number Of Medicare Beneficiaries With Medical Services |
767 |
Total Medical Submitted Charge Amount |
277628 |
Total Medical Medicare Allowed Amount |
84625.15 |
Total Medical Medicare Payment Amount |
62955.1 |
Total Medical Medicare Standardized Payment Amount |
68370.12 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
391 |
Number Of Male Beneficiaries |
376 |
Number Of Non Hispanic White Beneficiaries |
707 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
694 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3838 |