| National Provider Identifier [NPI]: | 1467455287 |
| Last Name Of The Provider | MERRICK |
| First Name Of The Provider | BRYAN |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 205 HOSPITAL DR |
| Street Address 2 Of The Provider | STE A |
| City Of The Provider | MC KENZIE |
| Zip Code Of The Provider | 382011649 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 296 |
| Number Of Services | 28318 |
| Number Of Medicare Beneficiaries | 2373 |
| Total Submitted Charge Amount | 2100151.6 |
| Total Medicare Allowed Amount | 795605.57 |
| Total Medicare Payment Amount | 638312.65 |
| Total Medicare Standardized Payment Amount | 684937.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 33 |
| Number Of Drug Services | 9494 |
| Number Of Medicare Beneficiaries With Drug Services | 447 |
| Total Drug Submitted ChargeAmount | 63483.6 |
| Total Drug Medicare AllowedAmount | 18189.29 |
| Total Drug Medicare PaymentAmount | 15440.59 |
| Total Drug Medicare Standardized Payment Amount | 15440.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 263 |
| Number Of Medical Services | 18824 |
| Number Of Medicare Beneficiaries With Medical Services | 2373 |
| Total Medical Submitted Charge Amount | 2036668 |
| Total Medical Medicare Allowed Amount | 777416.28 |
| Total Medical Medicare Payment Amount | 622872.06 |
| Total Medical Medicare Standardized Payment Amount | 669496.66 |
| Average Age Of Beneficiaries | 67 |
| Number Of Beneficiaries Age Less65 | 858 |
| Number Of Beneficiaries Age 65 to 74 | 788 |
| Number Of Beneficiaries Age 75 to 84 | 473 |
| Number Of Beneficiaries Age Greater 84 | 254 |
| Number Of Female Beneficiaries | 1384 |
| Number Of Male Beneficiaries | 989 |
| Number Of Non Hispanic White Beneficiaries | 2177 |
| Number Of Black or African American Beneficiaries | 167 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 13 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1242 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1131 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.396 |