National Provider Identifier [NPI]: |
1013015635 |
Last Name Of The Provider |
RAWLINSON |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7205 WOLF RIVER BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
GERMANTOWN |
Zip Code Of The Provider |
381381758 |
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 |
69 |
Number Of Services |
5042 |
Number Of Medicare Beneficiaries |
1062 |
Total Submitted Charge Amount |
475932.35 |
Total Medicare Allowed Amount |
277394.47 |
Total Medicare Payment Amount |
200871.23 |
Total Medicare Standardized Payment Amount |
216080.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
369 |
Number Of Medicare Beneficiaries With Drug Services |
235 |
Total Drug Submitted ChargeAmount |
5369.35 |
Total Drug Medicare AllowedAmount |
2792.09 |
Total Drug Medicare PaymentAmount |
2591.37 |
Total Drug Medicare Standardized Payment Amount |
2591.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
4673 |
Number Of Medicare Beneficiaries With Medical Services |
1062 |
Total Medical Submitted Charge Amount |
470563 |
Total Medical Medicare Allowed Amount |
274602.38 |
Total Medical Medicare Payment Amount |
198279.86 |
Total Medical Medicare Standardized Payment Amount |
213489.05 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
400 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
620 |
Number Of Male Beneficiaries |
442 |
Number Of Non Hispanic White Beneficiaries |
803 |
Number Of Black or African American Beneficiaries |
227 |
Number Of AsianPacific Islander Beneficiaries |
13 |
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 |
929 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5089 |