National Provider Identifier [NPI]: |
1194726679 |
Last Name Of The Provider |
OVERBY |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8040 WOLF RIVER BOULEVARD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
GERMANTOWN |
Zip Code Of The Provider |
381381775 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
173 |
Number Of Services |
25468 |
Number Of Medicare Beneficiaries |
876 |
Total Submitted Charge Amount |
1084288.12 |
Total Medicare Allowed Amount |
494472.25 |
Total Medicare Payment Amount |
380719.9 |
Total Medicare Standardized Payment Amount |
409443.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
5755 |
Number Of Medicare Beneficiaries With Drug Services |
473 |
Total Drug Submitted ChargeAmount |
26048.12 |
Total Drug Medicare AllowedAmount |
10957.96 |
Total Drug Medicare PaymentAmount |
10134.25 |
Total Drug Medicare Standardized Payment Amount |
10134.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
154 |
Number Of Medical Services |
19713 |
Number Of Medicare Beneficiaries With Medical Services |
876 |
Total Medical Submitted Charge Amount |
1058240 |
Total Medical Medicare Allowed Amount |
483514.29 |
Total Medical Medicare Payment Amount |
370585.65 |
Total Medical Medicare Standardized Payment Amount |
399309 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
282 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
491 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
810 |
Number Of Black or African American Beneficiaries |
45 |
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 |
856 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9605 |