National Provider Identifier [NPI]: |
1295815850 |
Last Name Of The Provider |
SIMPSON |
First Name Of The Provider |
JON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
118 BROWN AVE |
Street Address 2 Of The Provider |
STE 103 |
City Of The Provider |
CROSSVILLE |
Zip Code Of The Provider |
385557739 |
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 |
131 |
Number Of Services |
5456 |
Number Of Medicare Beneficiaries |
969 |
Total Submitted Charge Amount |
1383451 |
Total Medicare Allowed Amount |
457178.05 |
Total Medicare Payment Amount |
340719.4 |
Total Medicare Standardized Payment Amount |
370090.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1550 |
Number Of Medicare Beneficiaries With Drug Services |
360 |
Total Drug Submitted ChargeAmount |
26919 |
Total Drug Medicare AllowedAmount |
14320.42 |
Total Drug Medicare PaymentAmount |
11057.95 |
Total Drug Medicare Standardized Payment Amount |
11057.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
3906 |
Number Of Medicare Beneficiaries With Medical Services |
969 |
Total Medical Submitted Charge Amount |
1356532 |
Total Medical Medicare Allowed Amount |
442857.63 |
Total Medical Medicare Payment Amount |
329661.45 |
Total Medical Medicare Standardized Payment Amount |
359032.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
435 |
Number Of Beneficiaries Age 75 to 84 |
373 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
562 |
Number Of Male Beneficiaries |
407 |
Number Of Non Hispanic White Beneficiaries |
951 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
907 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0078 |