National Provider Identifier [NPI]: |
1083860506 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1819 W CLINCH AVE |
Street Address 2 Of The Provider |
SUITE 114 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379162434 |
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 |
124 |
Number Of Services |
4830 |
Number Of Medicare Beneficiaries |
362 |
Total Submitted Charge Amount |
353073 |
Total Medicare Allowed Amount |
178935.26 |
Total Medicare Payment Amount |
140267.1 |
Total Medicare Standardized Payment Amount |
150357.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
144 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
4756 |
Total Drug Medicare AllowedAmount |
3808.11 |
Total Drug Medicare PaymentAmount |
3577.07 |
Total Drug Medicare Standardized Payment Amount |
3577.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
4686 |
Number Of Medicare Beneficiaries With Medical Services |
362 |
Total Medical Submitted Charge Amount |
348317 |
Total Medical Medicare Allowed Amount |
175127.15 |
Total Medical Medicare Payment Amount |
136690.03 |
Total Medical Medicare Standardized Payment Amount |
146780.01 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
305 |
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 |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2504 |