National Provider Identifier [NPI]: |
1669468708 |
Last Name Of The Provider |
MUENCH |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10400 RAMSEY WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
DICKSON |
Zip Code Of The Provider |
370551087 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
161 |
Number Of Services |
51419 |
Number Of Medicare Beneficiaries |
1200 |
Total Submitted Charge Amount |
4299864.03 |
Total Medicare Allowed Amount |
1100795.88 |
Total Medicare Payment Amount |
893580.99 |
Total Medicare Standardized Payment Amount |
803565.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
30982 |
Number Of Medicare Beneficiaries With Drug Services |
292 |
Total Drug Submitted ChargeAmount |
376841.03 |
Total Drug Medicare AllowedAmount |
121141.42 |
Total Drug Medicare PaymentAmount |
93125.92 |
Total Drug Medicare Standardized Payment Amount |
93125.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
147 |
Number Of Medical Services |
20437 |
Number Of Medicare Beneficiaries With Medical Services |
1200 |
Total Medical Submitted Charge Amount |
3923023 |
Total Medical Medicare Allowed Amount |
979654.46 |
Total Medical Medicare Payment Amount |
800455.07 |
Total Medical Medicare Standardized Payment Amount |
710439.18 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
734 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
723 |
Number Of Male Beneficiaries |
477 |
Number Of Non Hispanic White Beneficiaries |
1141 |
Number Of Black or African American Beneficiaries |
39 |
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 |
600 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
600 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
55 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.5315 |