National Provider Identifier [NPI]: |
1417903378 |
Last Name Of The Provider |
LAGRONE |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2001 CHARLOTTE AVE |
Street Address 2 Of The Provider |
SUITE #102 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372032032 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
15483 |
Number Of Medicare Beneficiaries |
475 |
Total Submitted Charge Amount |
729559.02 |
Total Medicare Allowed Amount |
507033.17 |
Total Medicare Payment Amount |
348304 |
Total Medicare Standardized Payment Amount |
360325.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
13465 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
492050.02 |
Total Drug Medicare AllowedAmount |
352190.35 |
Total Drug Medicare PaymentAmount |
239568.01 |
Total Drug Medicare Standardized Payment Amount |
239568.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2018 |
Number Of Medicare Beneficiaries With Medical Services |
475 |
Total Medical Submitted Charge Amount |
237509 |
Total Medical Medicare Allowed Amount |
154842.82 |
Total Medical Medicare Payment Amount |
108735.99 |
Total Medical Medicare Standardized Payment Amount |
120757.27 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
345 |
Number Of Male Beneficiaries |
130 |
Number Of Non Hispanic White Beneficiaries |
419 |
Number Of Black or African American Beneficiaries |
|
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 |
399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.3709 |