National Provider Identifier [NPI]: |
1841273190 |
Last Name Of The Provider |
YARBRO |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
383013947 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
13157 |
Number Of Medicare Beneficiaries |
959 |
Total Submitted Charge Amount |
965049.5 |
Total Medicare Allowed Amount |
368647.77 |
Total Medicare Payment Amount |
274409.18 |
Total Medicare Standardized Payment Amount |
294270.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
6894 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
228029.5 |
Total Drug Medicare AllowedAmount |
78362.91 |
Total Drug Medicare PaymentAmount |
61108.84 |
Total Drug Medicare Standardized Payment Amount |
61108.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
6263 |
Number Of Medicare Beneficiaries With Medical Services |
959 |
Total Medical Submitted Charge Amount |
737020 |
Total Medical Medicare Allowed Amount |
290284.86 |
Total Medical Medicare Payment Amount |
213300.34 |
Total Medical Medicare Standardized Payment Amount |
233161.3 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
428 |
Number Of Beneficiaries Age 75 to 84 |
350 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
237 |
Number Of Male Beneficiaries |
722 |
Number Of Non Hispanic White Beneficiaries |
863 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
853 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1678 |