National Provider Identifier [NPI]: |
1962470625 |
Last Name Of The Provider |
RINEHART |
First Name Of The Provider |
DARREL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1114 W 7TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
384011810 |
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 |
96 |
Number Of Services |
7614 |
Number Of Medicare Beneficiaries |
874 |
Total Submitted Charge Amount |
571917.68 |
Total Medicare Allowed Amount |
400272.52 |
Total Medicare Payment Amount |
285825.55 |
Total Medicare Standardized Payment Amount |
292082.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2254 |
Number Of Medicare Beneficiaries With Drug Services |
479 |
Total Drug Submitted ChargeAmount |
46950 |
Total Drug Medicare AllowedAmount |
11054.44 |
Total Drug Medicare PaymentAmount |
9572.12 |
Total Drug Medicare Standardized Payment Amount |
9572.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
5360 |
Number Of Medicare Beneficiaries With Medical Services |
874 |
Total Medical Submitted Charge Amount |
524967.68 |
Total Medical Medicare Allowed Amount |
389218.08 |
Total Medical Medicare Payment Amount |
276253.43 |
Total Medical Medicare Standardized Payment Amount |
282510.01 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
804 |
Number Of Black or African American Beneficiaries |
57 |
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 |
671 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2751 |