National Provider Identifier [NPI]: |
1962515023 |
Last Name Of The Provider |
BART |
First Name Of The Provider |
BELINDA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1605 NASHVILLE HWY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
384012071 |
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 |
120 |
Number Of Services |
6075 |
Number Of Medicare Beneficiaries |
845 |
Total Submitted Charge Amount |
480902 |
Total Medicare Allowed Amount |
342371.23 |
Total Medicare Payment Amount |
254720.52 |
Total Medicare Standardized Payment Amount |
276641.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
806 |
Number Of Medicare Beneficiaries With Drug Services |
369 |
Total Drug Submitted ChargeAmount |
37097 |
Total Drug Medicare AllowedAmount |
31792.81 |
Total Drug Medicare PaymentAmount |
30670.42 |
Total Drug Medicare Standardized Payment Amount |
30670.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
5269 |
Number Of Medicare Beneficiaries With Medical Services |
843 |
Total Medical Submitted Charge Amount |
443805 |
Total Medical Medicare Allowed Amount |
310578.42 |
Total Medical Medicare Payment Amount |
224050.1 |
Total Medical Medicare Standardized Payment Amount |
245971.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
402 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
589 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
818 |
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 |
667 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.0834 |