National Provider Identifier [NPI]: |
1184671547 |
Last Name Of The Provider |
TRENT |
First Name Of The Provider |
BILLY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3900 SAM COOPER LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379184212 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
156 |
Number Of Services |
14848 |
Number Of Medicare Beneficiaries |
3559 |
Total Submitted Charge Amount |
1053688.94 |
Total Medicare Allowed Amount |
281221.6 |
Total Medicare Payment Amount |
217946.23 |
Total Medicare Standardized Payment Amount |
229891.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
14848 |
Number Of Medicare Beneficiaries With Medical Services |
3559 |
Total Medical Submitted Charge Amount |
1053688.94 |
Total Medical Medicare Allowed Amount |
281221.6 |
Total Medical Medicare Payment Amount |
217946.23 |
Total Medical Medicare Standardized Payment Amount |
229891.47 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
1275 |
Number Of Beneficiaries Age 65 to 74 |
1177 |
Number Of Beneficiaries Age 75 to 84 |
783 |
Number Of Beneficiaries Age Greater 84 |
324 |
Number Of Female Beneficiaries |
1870 |
Number Of Male Beneficiaries |
1689 |
Number Of Non Hispanic White Beneficiaries |
3496 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1655 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1904 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8572 |