National Provider Identifier [NPI]: |
1851407548 |
Last Name Of The Provider |
NASH |
First Name Of The Provider |
TIMOTHY |
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 |
1090 N ELLINGTON PKWY |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
LEWISBURG |
Zip Code Of The Provider |
370912227 |
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 |
129 |
Number Of Services |
6699 |
Number Of Medicare Beneficiaries |
755 |
Total Submitted Charge Amount |
494296 |
Total Medicare Allowed Amount |
216741.27 |
Total Medicare Payment Amount |
159786.62 |
Total Medicare Standardized Payment Amount |
171292.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
432 |
Number Of Medicare Beneficiaries With Drug Services |
325 |
Total Drug Submitted ChargeAmount |
13741 |
Total Drug Medicare AllowedAmount |
9980.42 |
Total Drug Medicare PaymentAmount |
9644.75 |
Total Drug Medicare Standardized Payment Amount |
9644.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
6267 |
Number Of Medicare Beneficiaries With Medical Services |
755 |
Total Medical Submitted Charge Amount |
480555 |
Total Medical Medicare Allowed Amount |
206760.85 |
Total Medical Medicare Payment Amount |
150141.87 |
Total Medical Medicare Standardized Payment Amount |
161647.66 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
292 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
398 |
Number Of Male Beneficiaries |
357 |
Number Of Non Hispanic White Beneficiaries |
706 |
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 |
613 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.23 |