National Provider Identifier [NPI]: |
1013966886 |
Last Name Of The Provider |
OAKLEY |
First Name Of The Provider |
JAIME |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1404 TUSCULUM BLVD |
Street Address 2 Of The Provider |
LAUGHLIN MOB #3, SUITE 2100/2300 |
City Of The Provider |
GREENEVILLE |
Zip Code Of The Provider |
377454395 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
5710 |
Number Of Medicare Beneficiaries |
344 |
Total Submitted Charge Amount |
306319 |
Total Medicare Allowed Amount |
156533.76 |
Total Medicare Payment Amount |
116534.17 |
Total Medicare Standardized Payment Amount |
125750.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
579 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
6651 |
Total Drug Medicare AllowedAmount |
4856.95 |
Total Drug Medicare PaymentAmount |
4454.02 |
Total Drug Medicare Standardized Payment Amount |
4454.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
5131 |
Number Of Medicare Beneficiaries With Medical Services |
343 |
Total Medical Submitted Charge Amount |
299668 |
Total Medical Medicare Allowed Amount |
151676.81 |
Total Medical Medicare Payment Amount |
112080.15 |
Total Medical Medicare Standardized Payment Amount |
121296.51 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
196 |
Number Of Male Beneficiaries |
148 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
293 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9617 |