National Provider Identifier [NPI]: |
1225246044 |
Last Name Of The Provider |
SHERRELL |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1422 OLD WEISGARBER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379091293 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
2933 |
Number Of Medicare Beneficiaries |
521 |
Total Submitted Charge Amount |
1069272 |
Total Medicare Allowed Amount |
326212.87 |
Total Medicare Payment Amount |
250286.96 |
Total Medicare Standardized Payment Amount |
270553.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1326 |
Number Of Medicare Beneficiaries With Drug Services |
173 |
Total Drug Submitted ChargeAmount |
32550 |
Total Drug Medicare AllowedAmount |
19125.19 |
Total Drug Medicare PaymentAmount |
14702.71 |
Total Drug Medicare Standardized Payment Amount |
14702.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
1607 |
Number Of Medicare Beneficiaries With Medical Services |
521 |
Total Medical Submitted Charge Amount |
1036722 |
Total Medical Medicare Allowed Amount |
307087.68 |
Total Medical Medicare Payment Amount |
235584.25 |
Total Medical Medicare Standardized Payment Amount |
255850.59 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
259 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
312 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
492 |
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 |
439 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0979 |