National Provider Identifier [NPI]: |
1285834622 |
Last Name Of The Provider |
TAYLOR |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3601 TVC |
Street Address 2 Of The Provider |
|
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372320001 |
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 |
193 |
Number Of Services |
7126 |
Number Of Medicare Beneficiaries |
3131 |
Total Submitted Charge Amount |
798132 |
Total Medicare Allowed Amount |
197183.59 |
Total Medicare Payment Amount |
150887.18 |
Total Medicare Standardized Payment Amount |
157332.86 |
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 |
193 |
Number Of Medical Services |
7126 |
Number Of Medicare Beneficiaries With Medical Services |
3131 |
Total Medical Submitted Charge Amount |
798132 |
Total Medical Medicare Allowed Amount |
197183.59 |
Total Medical Medicare Payment Amount |
150887.18 |
Total Medical Medicare Standardized Payment Amount |
157332.86 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
610 |
Number Of Beneficiaries Age 65 to 74 |
1499 |
Number Of Beneficiaries Age 75 to 84 |
754 |
Number Of Beneficiaries Age Greater 84 |
268 |
Number Of Female Beneficiaries |
2055 |
Number Of Male Beneficiaries |
1076 |
Number Of Non Hispanic White Beneficiaries |
2510 |
Number Of Black or African American Beneficiaries |
517 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2395 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
736 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2564 |