National Provider Identifier [NPI]: |
1861428898 |
Last Name Of The Provider |
MCCARVER |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
426 WHITE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HENDERSON |
Zip Code Of The Provider |
383401914 |
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 |
154 |
Number Of Services |
7017 |
Number Of Medicare Beneficiaries |
580 |
Total Submitted Charge Amount |
440483 |
Total Medicare Allowed Amount |
203020.6 |
Total Medicare Payment Amount |
140468.23 |
Total Medicare Standardized Payment Amount |
154550.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
2167 |
Number Of Medicare Beneficiaries With Drug Services |
334 |
Total Drug Submitted ChargeAmount |
28800 |
Total Drug Medicare AllowedAmount |
12281.11 |
Total Drug Medicare PaymentAmount |
9771.19 |
Total Drug Medicare Standardized Payment Amount |
9771.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
4850 |
Number Of Medicare Beneficiaries With Medical Services |
580 |
Total Medical Submitted Charge Amount |
411683 |
Total Medical Medicare Allowed Amount |
190739.49 |
Total Medical Medicare Payment Amount |
130697.04 |
Total Medical Medicare Standardized Payment Amount |
144779.62 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
546 |
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 |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
2 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9467 |