National Provider Identifier [NPI]: |
1184887655 |
Last Name Of The Provider |
MASON |
First Name Of The Provider |
MEGAN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 STEAM PLANT RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
GALLATIN |
Zip Code Of The Provider |
370663032 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
4804 |
Number Of Medicare Beneficiaries |
593 |
Total Submitted Charge Amount |
409148 |
Total Medicare Allowed Amount |
238243.54 |
Total Medicare Payment Amount |
179566.85 |
Total Medicare Standardized Payment Amount |
193075.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2588 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
19368 |
Total Drug Medicare AllowedAmount |
13931.53 |
Total Drug Medicare PaymentAmount |
10920.11 |
Total Drug Medicare Standardized Payment Amount |
10920.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2216 |
Number Of Medicare Beneficiaries With Medical Services |
593 |
Total Medical Submitted Charge Amount |
389780 |
Total Medical Medicare Allowed Amount |
224312.01 |
Total Medical Medicare Payment Amount |
168646.74 |
Total Medical Medicare Standardized Payment Amount |
182155.47 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
359 |
Number Of Male Beneficiaries |
234 |
Number Of Non Hispanic White Beneficiaries |
552 |
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 |
397 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.7922 |