Medicare Facts for Dr. Van A. Montgomery, MD


National Provider Identifier [NPI]: 1922209360
Last Name Of The Provider MONTGOMERY
First Name Of The Provider VAN
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 UT COLLEGE OF MEDICINE
Street Address 2 Of The Provider 920 MADISON AVE., SUITE C50
City Of The Provider MEMPHIS
Zip Code Of The Provider 381630001
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Diagnostic Radiology
Medicare Participation Indicator Y
Number Of HCPCS 184
Number Of Services 2140
Number Of Medicare Beneficiaries 1477
Total Submitted Charge Amount 487014
Total Medicare Allowed Amount 98234.84
Total Medicare Payment Amount 75679.51
Total Medicare Standardized Payment Amount 81053.5
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 184
Number Of Medical Services 2140
Number Of Medicare Beneficiaries With Medical Services 1477
Total Medical Submitted Charge Amount 487014
Total Medical Medicare Allowed Amount 98234.84
Total Medical Medicare Payment Amount 75679.51
Total Medical Medicare Standardized Payment Amount 81053.5
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 377
Number Of Beneficiaries Age 65 to 74 515
Number Of Beneficiaries Age 75 to 84 384
Number Of Beneficiaries Age Greater 84 201
Number Of Female Beneficiaries 872
Number Of Male Beneficiaries 605
Number Of Non Hispanic White Beneficiaries 818
Number Of Black or African American Beneficiaries 637
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 969
Number Of Beneficiaries With Medicare Medicaid Entitlement 508
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 22
Percent Of With Asthma 14
Percent Of With Cancer 13
Percent Of With Heart Failure 42
Percent Of With Chronic Kidney Disease 52
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 25
Percent Of With Diabetes 50
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 53
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 11
Percent Of With Stroke 13
Average HCC Risk Score Of Beneficiaries 2.4038

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