National Provider Identifier [NPI]: |
1639261001 |
Last Name Of The Provider |
EDWARDS |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8060 WOLF RIVER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381381727 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
35858 |
Number Of Medicare Beneficiaries |
3446 |
Total Submitted Charge Amount |
6181929.69 |
Total Medicare Allowed Amount |
1191466.77 |
Total Medicare Payment Amount |
919386.13 |
Total Medicare Standardized Payment Amount |
982362 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
1222 |
Total Drug Medicare AllowedAmount |
683.44 |
Total Drug Medicare PaymentAmount |
571.84 |
Total Drug Medicare Standardized Payment Amount |
571.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
35823 |
Number Of Medicare Beneficiaries With Medical Services |
3446 |
Total Medical Submitted Charge Amount |
6180707.69 |
Total Medical Medicare Allowed Amount |
1190783.33 |
Total Medical Medicare Payment Amount |
918814.29 |
Total Medical Medicare Standardized Payment Amount |
981790.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
491 |
Number Of Beneficiaries Age 65 to 74 |
1298 |
Number Of Beneficiaries Age 75 to 84 |
1130 |
Number Of Beneficiaries Age Greater 84 |
527 |
Number Of Female Beneficiaries |
1815 |
Number Of Male Beneficiaries |
1631 |
Number Of Non Hispanic White Beneficiaries |
2699 |
Number Of Black or African American Beneficiaries |
692 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2809 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
637 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8632 |