National Provider Identifier [NPI]: |
1629046156 |
Last Name Of The Provider |
REITER |
First Name Of The Provider |
AMANDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20719 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTINGDON |
Zip Code Of The Provider |
383444235 |
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 |
101 |
Number Of Services |
8219 |
Number Of Medicare Beneficiaries |
599 |
Total Submitted Charge Amount |
442810 |
Total Medicare Allowed Amount |
203070.93 |
Total Medicare Payment Amount |
156392.38 |
Total Medicare Standardized Payment Amount |
165433.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
2060 |
Number Of Medicare Beneficiaries With Drug Services |
292 |
Total Drug Submitted ChargeAmount |
39551 |
Total Drug Medicare AllowedAmount |
19853.75 |
Total Drug Medicare PaymentAmount |
16228.84 |
Total Drug Medicare Standardized Payment Amount |
16228.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
6159 |
Number Of Medicare Beneficiaries With Medical Services |
599 |
Total Medical Submitted Charge Amount |
403259 |
Total Medical Medicare Allowed Amount |
183217.18 |
Total Medical Medicare Payment Amount |
140163.54 |
Total Medical Medicare Standardized Payment Amount |
149204.45 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
287 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
409 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
535 |
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 |
512 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9918 |