| National Provider Identifier [NPI]: | 1093800609 |
| Last Name Of The Provider | MAUGHON |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1015 EAST PARKWAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | GATLINBURG |
| Zip Code Of The Provider | 377381015 |
| 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 | 205 |
| Number Of Services | 78672 |
| Number Of Medicare Beneficiaries | 1858 |
| Total Submitted Charge Amount | 5015318.5 |
| Total Medicare Allowed Amount | 1728544.43 |
| Total Medicare Payment Amount | 1408691.84 |
| Total Medicare Standardized Payment Amount | 1284850.33 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 25 |
| Number Of Drug Services | 10647 |
| Number Of Medicare Beneficiaries With Drug Services | 1015 |
| Total Drug Submitted ChargeAmount | 383831 |
| Total Drug Medicare AllowedAmount | 29235.74 |
| Total Drug Medicare PaymentAmount | 21745.19 |
| Total Drug Medicare Standardized Payment Amount | 21745.19 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 180 |
| Number Of Medical Services | 68025 |
| Number Of Medicare Beneficiaries With Medical Services | 1858 |
| Total Medical Submitted Charge Amount | 4631487.5 |
| Total Medical Medicare Allowed Amount | 1699308.69 |
| Total Medical Medicare Payment Amount | 1386946.65 |
| Total Medical Medicare Standardized Payment Amount | 1263105.14 |
| Average Age Of Beneficiaries | 67 |
| Number Of Beneficiaries Age Less65 | 479 |
| Number Of Beneficiaries Age 65 to 74 | 939 |
| Number Of Beneficiaries Age 75 to 84 | 365 |
| Number Of Beneficiaries Age Greater 84 | 75 |
| Number Of Female Beneficiaries | 1041 |
| Number Of Male Beneficiaries | 817 |
| Number Of Non Hispanic White Beneficiaries | 1798 |
| Number Of Black or African American Beneficiaries | 21 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 17 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1462 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 396 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 13 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 29 |
| Percent Of With Osteoporosis | 4 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.9836 |