National Provider Identifier [NPI]: |
1285621870 |
Last Name Of The Provider |
BREWER |
First Name Of The Provider |
GREGORY |
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 |
314 PROSPERITY DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
37923 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
6508 |
Number Of Medicare Beneficiaries |
1437 |
Total Submitted Charge Amount |
1368875.8 |
Total Medicare Allowed Amount |
500961.38 |
Total Medicare Payment Amount |
368970.95 |
Total Medicare Standardized Payment Amount |
407297.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
152 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
13680 |
Total Drug Medicare AllowedAmount |
8049.13 |
Total Drug Medicare PaymentAmount |
6310.49 |
Total Drug Medicare Standardized Payment Amount |
6310.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
6356 |
Number Of Medicare Beneficiaries With Medical Services |
1437 |
Total Medical Submitted Charge Amount |
1355195.8 |
Total Medical Medicare Allowed Amount |
492912.25 |
Total Medical Medicare Payment Amount |
362660.46 |
Total Medical Medicare Standardized Payment Amount |
400986.77 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
567 |
Number Of Beneficiaries Age 75 to 84 |
448 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
746 |
Number Of Male Beneficiaries |
691 |
Number Of Non Hispanic White Beneficiaries |
1371 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1218 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
219 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6071 |