National Provider Identifier [NPI]: |
1912908443 |
Last Name Of The Provider |
TAYLOR |
First Name Of The Provider |
MARTHA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7690 WOLF RIVER CIRCLE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GERMANTOWN |
Zip Code Of The Provider |
38138 |
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 |
56 |
Number Of Services |
2327 |
Number Of Medicare Beneficiaries |
256 |
Total Submitted Charge Amount |
295454 |
Total Medicare Allowed Amount |
97914.68 |
Total Medicare Payment Amount |
71671.22 |
Total Medicare Standardized Payment Amount |
78481.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
92 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
6771 |
Total Drug Medicare AllowedAmount |
2695.67 |
Total Drug Medicare PaymentAmount |
2340.85 |
Total Drug Medicare Standardized Payment Amount |
2340.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
2235 |
Number Of Medicare Beneficiaries With Medical Services |
256 |
Total Medical Submitted Charge Amount |
288683 |
Total Medical Medicare Allowed Amount |
95219.01 |
Total Medical Medicare Payment Amount |
69330.37 |
Total Medical Medicare Standardized Payment Amount |
76141.02 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
30 |
Number Of Non Hispanic White Beneficiaries |
239 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
6 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
13 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6549 |