National Provider Identifier [NPI]: |
1891792883 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
TROY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
75 PHYSICIANS LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTHAVEN |
Zip Code Of The Provider |
386716102 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
13765 |
Number Of Medicare Beneficiaries |
1085 |
Total Submitted Charge Amount |
751831 |
Total Medicare Allowed Amount |
390727.65 |
Total Medicare Payment Amount |
275948.53 |
Total Medicare Standardized Payment Amount |
303206.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
997 |
Number Of Medicare Beneficiaries With Drug Services |
577 |
Total Drug Submitted ChargeAmount |
24458 |
Total Drug Medicare AllowedAmount |
16176.5 |
Total Drug Medicare PaymentAmount |
14984.92 |
Total Drug Medicare Standardized Payment Amount |
14984.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
12768 |
Number Of Medicare Beneficiaries With Medical Services |
1085 |
Total Medical Submitted Charge Amount |
727373 |
Total Medical Medicare Allowed Amount |
374551.15 |
Total Medical Medicare Payment Amount |
260963.61 |
Total Medical Medicare Standardized Payment Amount |
288221.21 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
612 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
605 |
Number Of Male Beneficiaries |
480 |
Number Of Non Hispanic White Beneficiaries |
977 |
Number Of Black or African American Beneficiaries |
95 |
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 |
1028 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9236 |