National Provider Identifier [NPI]: |
1275613408 |
Last Name Of The Provider |
BINGHAM |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6005 PARK AVE |
Street Address 2 Of The Provider |
SUITE 803 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381195202 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
14483 |
Number Of Medicare Beneficiaries |
660 |
Total Submitted Charge Amount |
1005351.2 |
Total Medicare Allowed Amount |
383348.69 |
Total Medicare Payment Amount |
279150.18 |
Total Medicare Standardized Payment Amount |
298216.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
6284 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
149257.2 |
Total Drug Medicare AllowedAmount |
47700.65 |
Total Drug Medicare PaymentAmount |
33453.31 |
Total Drug Medicare Standardized Payment Amount |
33453.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
8199 |
Number Of Medicare Beneficiaries With Medical Services |
660 |
Total Medical Submitted Charge Amount |
856094 |
Total Medical Medicare Allowed Amount |
335648.04 |
Total Medical Medicare Payment Amount |
245696.87 |
Total Medical Medicare Standardized Payment Amount |
264763.35 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
280 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
471 |
Number Of Non Hispanic White Beneficiaries |
344 |
Number Of Black or African American Beneficiaries |
293 |
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 |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3784 |