National Provider Identifier [NPI]: |
1760569875 |
Last Name Of The Provider |
SMUCKLER |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
266 JOULE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALCOA |
Zip Code Of The Provider |
377012422 |
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 |
47 |
Number Of Services |
2719 |
Number Of Medicare Beneficiaries |
1394 |
Total Submitted Charge Amount |
237564.92 |
Total Medicare Allowed Amount |
154379.97 |
Total Medicare Payment Amount |
113665.89 |
Total Medicare Standardized Payment Amount |
121663.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
621.92 |
Total Drug Medicare AllowedAmount |
332.25 |
Total Drug Medicare PaymentAmount |
324.53 |
Total Drug Medicare Standardized Payment Amount |
324.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
2704 |
Number Of Medicare Beneficiaries With Medical Services |
1394 |
Total Medical Submitted Charge Amount |
236943 |
Total Medical Medicare Allowed Amount |
154047.72 |
Total Medical Medicare Payment Amount |
113341.36 |
Total Medical Medicare Standardized Payment Amount |
121338.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
515 |
Number Of Beneficiaries Age 75 to 84 |
442 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
718 |
Number Of Male Beneficiaries |
676 |
Number Of Non Hispanic White Beneficiaries |
1334 |
Number Of Black or African American Beneficiaries |
38 |
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 |
1118 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
276 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.575 |