National Provider Identifier [NPI]: |
1851345755 |
Last Name Of The Provider |
SCOTT |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5653 FRIST BLVD |
Street Address 2 Of The Provider |
SUITE 630 |
City Of The Provider |
HERMITAGE |
Zip Code Of The Provider |
370762094 |
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 |
77 |
Number Of Services |
4284 |
Number Of Medicare Beneficiaries |
567 |
Total Submitted Charge Amount |
243746 |
Total Medicare Allowed Amount |
149570.33 |
Total Medicare Payment Amount |
101885.69 |
Total Medicare Standardized Payment Amount |
113882.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
399 |
Number Of Medicare Beneficiaries With Drug Services |
205 |
Total Drug Submitted ChargeAmount |
12744 |
Total Drug Medicare AllowedAmount |
7351.29 |
Total Drug Medicare PaymentAmount |
6815.11 |
Total Drug Medicare Standardized Payment Amount |
6815.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3885 |
Number Of Medicare Beneficiaries With Medical Services |
567 |
Total Medical Submitted Charge Amount |
231002 |
Total Medical Medicare Allowed Amount |
142219.04 |
Total Medical Medicare Payment Amount |
95070.58 |
Total Medical Medicare Standardized Payment Amount |
107067.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
232 |
Number Of Non Hispanic White Beneficiaries |
532 |
Number Of Black or African American Beneficiaries |
20 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
516 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0293 |