| National Provider Identifier [NPI]: | 1760508089 |
| Last Name Of The Provider | GRANT |
| First Name Of The Provider | NATARSHA |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 176 S BELLEVUE BLVD |
| Street Address 2 Of The Provider | SUITE 502 |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 381043417 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Nephrology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 30 |
| Number Of Services | 40837 |
| Number Of Medicare Beneficiaries | 475 |
| Total Submitted Charge Amount | 5902966 |
| Total Medicare Allowed Amount | 1485745.06 |
| Total Medicare Payment Amount | 1108267.43 |
| Total Medicare Standardized Payment Amount | 1300085.98 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 38094 |
| Number Of Medicare Beneficiaries With Drug Services | 434 |
| Total Drug Submitted ChargeAmount | 91932 |
| Total Drug Medicare AllowedAmount | 7323.77 |
| Total Drug Medicare PaymentAmount | 5464.33 |
| Total Drug Medicare Standardized Payment Amount | 5464.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 28 |
| Number Of Medical Services | 2743 |
| Number Of Medicare Beneficiaries With Medical Services | 475 |
| Total Medical Submitted Charge Amount | 5811034 |
| Total Medical Medicare Allowed Amount | 1478421.29 |
| Total Medical Medicare Payment Amount | 1102803.1 |
| Total Medical Medicare Standardized Payment Amount | 1294621.65 |
| Average Age Of Beneficiaries | 60 |
| Number Of Beneficiaries Age Less65 | 284 |
| Number Of Beneficiaries Age 65 to 74 | 127 |
| Number Of Beneficiaries Age 75 to 84 | 47 |
| Number Of Beneficiaries Age Greater 84 | 17 |
| Number Of Female Beneficiaries | 225 |
| Number Of Male Beneficiaries | 250 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | 407 |
| 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 | 219 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 256 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 63 |
| Percent Of With Chronic Kidney Disease | 75 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 71 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 3 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 26 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 7.9601 |