National Provider Identifier [NPI]: |
1902947807 |
Last Name Of The Provider |
REDMON |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9031 CROSS PARK DR. |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
37923 |
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 |
125 |
Number Of Services |
21916 |
Number Of Medicare Beneficiaries |
447 |
Total Submitted Charge Amount |
1212684.55 |
Total Medicare Allowed Amount |
365749.3 |
Total Medicare Payment Amount |
298764.83 |
Total Medicare Standardized Payment Amount |
309598.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
15540 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
163460 |
Total Drug Medicare AllowedAmount |
56254.47 |
Total Drug Medicare PaymentAmount |
43455.8 |
Total Drug Medicare Standardized Payment Amount |
43455.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
6376 |
Number Of Medicare Beneficiaries With Medical Services |
447 |
Total Medical Submitted Charge Amount |
1049224.55 |
Total Medical Medicare Allowed Amount |
309494.83 |
Total Medical Medicare Payment Amount |
255309.03 |
Total Medical Medicare Standardized Payment Amount |
266143.07 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
306 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
240 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
429 |
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 |
137 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4637 |