National Provider Identifier [NPI]: |
1194827089 |
Last Name Of The Provider |
INFELD |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8060 WOLF RIVER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381381727 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
10333 |
Number Of Medicare Beneficiaries |
2403 |
Total Submitted Charge Amount |
1694760 |
Total Medicare Allowed Amount |
482418.77 |
Total Medicare Payment Amount |
351762.44 |
Total Medicare Standardized Payment Amount |
383311.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
3287 |
Total Drug Medicare AllowedAmount |
1158.62 |
Total Drug Medicare PaymentAmount |
636.09 |
Total Drug Medicare Standardized Payment Amount |
636.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
10294 |
Number Of Medicare Beneficiaries With Medical Services |
2403 |
Total Medical Submitted Charge Amount |
1691473 |
Total Medical Medicare Allowed Amount |
481260.15 |
Total Medical Medicare Payment Amount |
351126.35 |
Total Medical Medicare Standardized Payment Amount |
382675.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
317 |
Number Of Beneficiaries Age 65 to 74 |
923 |
Number Of Beneficiaries Age 75 to 84 |
766 |
Number Of Beneficiaries Age Greater 84 |
397 |
Number Of Female Beneficiaries |
1272 |
Number Of Male Beneficiaries |
1131 |
Number Of Non Hispanic White Beneficiaries |
1852 |
Number Of Black or African American Beneficiaries |
499 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1989 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
414 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7531 |