National Provider Identifier [NPI]: |
1376517557 |
Last Name Of The Provider |
MILLS |
First Name Of The Provider |
ROBERT |
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 |
400 BERYWOOD TRL NW |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
373125287 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
8953 |
Number Of Medicare Beneficiaries |
4587 |
Total Submitted Charge Amount |
646364 |
Total Medicare Allowed Amount |
224244.95 |
Total Medicare Payment Amount |
164383.29 |
Total Medicare Standardized Payment Amount |
175808.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
8953 |
Number Of Medicare Beneficiaries With Medical Services |
4587 |
Total Medical Submitted Charge Amount |
646364 |
Total Medical Medicare Allowed Amount |
224244.95 |
Total Medical Medicare Payment Amount |
164383.29 |
Total Medical Medicare Standardized Payment Amount |
175808.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
662 |
Number Of Beneficiaries Age 65 to 74 |
1728 |
Number Of Beneficiaries Age 75 to 84 |
1481 |
Number Of Beneficiaries Age Greater 84 |
716 |
Number Of Female Beneficiaries |
2413 |
Number Of Male Beneficiaries |
2174 |
Number Of Non Hispanic White Beneficiaries |
4273 |
Number Of Black or African American Beneficiaries |
263 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
3601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
986 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6788 |