National Provider Identifier [NPI]: |
1912993262 |
Last Name Of The Provider |
HAWTHORN |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DPM PC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 CENTRAL PIKE |
Street Address 2 Of The Provider |
SUITE 353 |
City Of The Provider |
HERMITAGE |
Zip Code Of The Provider |
370763422 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
1635 |
Number Of Medicare Beneficiaries |
311 |
Total Submitted Charge Amount |
293257 |
Total Medicare Allowed Amount |
121846.16 |
Total Medicare Payment Amount |
88548.92 |
Total Medicare Standardized Payment Amount |
94739.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
352 |
Total Drug Medicare AllowedAmount |
185.26 |
Total Drug Medicare PaymentAmount |
134.31 |
Total Drug Medicare Standardized Payment Amount |
134.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
1553 |
Number Of Medicare Beneficiaries With Medical Services |
311 |
Total Medical Submitted Charge Amount |
292905 |
Total Medical Medicare Allowed Amount |
121660.9 |
Total Medical Medicare Payment Amount |
88414.61 |
Total Medical Medicare Standardized Payment Amount |
94605.52 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
114 |
Number Of Non Hispanic White Beneficiaries |
271 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
266 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2545 |