National Provider Identifier [NPI]: |
1225089097 |
Last Name Of The Provider |
HOROWITZ |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 PATTERSON ST |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372032119 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
14818 |
Number Of Medicare Beneficiaries |
1550 |
Total Submitted Charge Amount |
972109 |
Total Medicare Allowed Amount |
578551.54 |
Total Medicare Payment Amount |
422568.63 |
Total Medicare Standardized Payment Amount |
467698.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1281 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
6960 |
Total Drug Medicare AllowedAmount |
2322.22 |
Total Drug Medicare PaymentAmount |
1718.63 |
Total Drug Medicare Standardized Payment Amount |
1718.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
13537 |
Number Of Medicare Beneficiaries With Medical Services |
1550 |
Total Medical Submitted Charge Amount |
965149 |
Total Medical Medicare Allowed Amount |
576229.32 |
Total Medical Medicare Payment Amount |
420850 |
Total Medical Medicare Standardized Payment Amount |
465979.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
735 |
Number Of Beneficiaries Age 75 to 84 |
502 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
739 |
Number Of Male Beneficiaries |
811 |
Number Of Non Hispanic White Beneficiaries |
1336 |
Number Of Black or African American Beneficiaries |
177 |
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 |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9433 |