National Provider Identifier [NPI]: |
1538166277 |
Last Name Of The Provider |
MILLMAN |
First Name Of The Provider |
MARSHALL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2345 MURFREESBORO HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MANCHESTER |
Zip Code Of The Provider |
373553206 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
5040 |
Number Of Medicare Beneficiaries |
403 |
Total Submitted Charge Amount |
1534836 |
Total Medicare Allowed Amount |
352051.26 |
Total Medicare Payment Amount |
263040.3 |
Total Medicare Standardized Payment Amount |
260251.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1492 |
Number Of Medicare Beneficiaries With Drug Services |
333 |
Total Drug Submitted ChargeAmount |
80743 |
Total Drug Medicare AllowedAmount |
2883.38 |
Total Drug Medicare PaymentAmount |
2180.16 |
Total Drug Medicare Standardized Payment Amount |
2180.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3548 |
Number Of Medicare Beneficiaries With Medical Services |
401 |
Total Medical Submitted Charge Amount |
1454093 |
Total Medical Medicare Allowed Amount |
349167.88 |
Total Medical Medicare Payment Amount |
260860.14 |
Total Medical Medicare Standardized Payment Amount |
258071.57 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
265 |
Number Of Male Beneficiaries |
138 |
Number Of Non Hispanic White Beneficiaries |
377 |
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 |
338 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.198 |