National Provider Identifier [NPI]: |
1902812571 |
Last Name Of The Provider |
HEMPHILL |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5653 FRIST BLVD |
Street Address 2 Of The Provider |
STE 434 |
City Of The Provider |
HERMITAGE |
Zip Code Of The Provider |
370762062 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
151956 |
Number Of Medicare Beneficiaries |
506 |
Total Submitted Charge Amount |
2216755 |
Total Medicare Allowed Amount |
1415467.15 |
Total Medicare Payment Amount |
1114291.18 |
Total Medicare Standardized Payment Amount |
1122650.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
67 |
Number Of Drug Services |
140474 |
Number Of Medicare Beneficiaries With Drug Services |
206 |
Total Drug Submitted ChargeAmount |
1517322 |
Total Drug Medicare AllowedAmount |
1159421.64 |
Total Drug Medicare PaymentAmount |
908255.6 |
Total Drug Medicare Standardized Payment Amount |
908255.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
11482 |
Number Of Medicare Beneficiaries With Medical Services |
506 |
Total Medical Submitted Charge Amount |
699433 |
Total Medical Medicare Allowed Amount |
256045.51 |
Total Medical Medicare Payment Amount |
206035.58 |
Total Medical Medicare Standardized Payment Amount |
214394.7 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
296 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
453 |
Number Of Black or African American Beneficiaries |
38 |
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 |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.9403 |