Medicare Facts for Dr. Michael J. Sullivan, MD


National Provider Identifier [NPI]: 1326023078
Last Name Of The Provider SULLIVAN
First Name Of The Provider MICHAEL
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2204 PAVILION DR
Street Address 2 Of The Provider SUITE 108
City Of The Provider KINGSPORT
Zip Code Of The Provider 376604657
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Gastroenterology
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 3377
Number Of Medicare Beneficiaries 1110
Total Submitted Charge Amount 1143680
Total Medicare Allowed Amount 376437.43
Total Medicare Payment Amount 268349.05
Total Medicare Standardized Payment Amount 309217.05
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 371
Number Of Beneficiaries Age 65 to 74 502
Number Of Beneficiaries Age 75 to 84 209
Number Of Beneficiaries Age Greater 84 28
Number Of Female Beneficiaries 667
Number Of Male Beneficiaries 443
Number Of Non Hispanic White Beneficiaries 1080
Number Of Black or African American Beneficiaries 16
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 744
Number Of Beneficiaries With Medicare Medicaid Entitlement 366
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 8
Percent Of With Cancer 8
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 31
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.172

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