National Provider Identifier [NPI]: |
1912116989 |
Last Name Of The Provider |
AUBERT |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 CHARLOTTE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
37209 |
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 |
132 |
Number Of Services |
7039 |
Number Of Medicare Beneficiaries |
436 |
Total Submitted Charge Amount |
495943.5 |
Total Medicare Allowed Amount |
224064.24 |
Total Medicare Payment Amount |
172103.19 |
Total Medicare Standardized Payment Amount |
180645.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
4235 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
119510 |
Total Drug Medicare AllowedAmount |
63817.9 |
Total Drug Medicare PaymentAmount |
49791.06 |
Total Drug Medicare Standardized Payment Amount |
49791.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
2804 |
Number Of Medicare Beneficiaries With Medical Services |
436 |
Total Medical Submitted Charge Amount |
376433.5 |
Total Medical Medicare Allowed Amount |
160246.34 |
Total Medical Medicare Payment Amount |
122312.13 |
Total Medical Medicare Standardized Payment Amount |
130854.29 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
330 |
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 |
328 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5161 |