National Provider Identifier [NPI]: |
1164530911 |
Last Name Of The Provider |
AKINS |
First Name Of The Provider |
DERENE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6799 GREAT OAKS RD |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381382588 |
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 |
83 |
Number Of Services |
16214 |
Number Of Medicare Beneficiaries |
831 |
Total Submitted Charge Amount |
941043 |
Total Medicare Allowed Amount |
366634.45 |
Total Medicare Payment Amount |
320282.21 |
Total Medicare Standardized Payment Amount |
334375.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
504 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
4311 |
Total Drug Medicare AllowedAmount |
972.11 |
Total Drug Medicare PaymentAmount |
812.35 |
Total Drug Medicare Standardized Payment Amount |
812.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
15710 |
Number Of Medicare Beneficiaries With Medical Services |
830 |
Total Medical Submitted Charge Amount |
936732 |
Total Medical Medicare Allowed Amount |
365662.34 |
Total Medical Medicare Payment Amount |
319469.86 |
Total Medical Medicare Standardized Payment Amount |
333563.42 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
702 |
Number Of Male Beneficiaries |
129 |
Number Of Non Hispanic White Beneficiaries |
763 |
Number Of Black or African American Beneficiaries |
52 |
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 |
811 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9566 |