National Provider Identifier [NPI]: |
1750383576 |
Last Name Of The Provider |
WHITMAN |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 MEDICAL PARK BLVD |
Street Address 2 Of The Provider |
STE 300 E |
City Of The Provider |
BRISTOL |
Zip Code Of The Provider |
376207430 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
3197 |
Number Of Medicare Beneficiaries |
582 |
Total Submitted Charge Amount |
1060924.4 |
Total Medicare Allowed Amount |
310788.12 |
Total Medicare Payment Amount |
224826.2 |
Total Medicare Standardized Payment Amount |
250129.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
709 |
Number Of Medicare Beneficiaries With Drug Services |
207 |
Total Drug Submitted ChargeAmount |
64900 |
Total Drug Medicare AllowedAmount |
31337.37 |
Total Drug Medicare PaymentAmount |
22510.58 |
Total Drug Medicare Standardized Payment Amount |
22510.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
2488 |
Number Of Medicare Beneficiaries With Medical Services |
582 |
Total Medical Submitted Charge Amount |
996024.4 |
Total Medical Medicare Allowed Amount |
279450.75 |
Total Medical Medicare Payment Amount |
202315.62 |
Total Medical Medicare Standardized Payment Amount |
227619.19 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
364 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
569 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
516 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9455 |