Medicare Facts for Dr. Ronald J. Estes, MD


National Provider Identifier [NPI]: 1366487449
Last Name Of The Provider ESTES
First Name Of The Provider RONALD
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 2240 SUTHERLAND AVE
Street Address 2 Of The Provider SUITE 103
City Of The Provider KNOXVILLE
Zip Code Of The Provider 379192333
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Pulmonary Disease
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 1447
Number Of Medicare Beneficiaries 350
Total Submitted Charge Amount 256111
Total Medicare Allowed Amount 120576.44
Total Medicare Payment Amount 91773.56
Total Medicare Standardized Payment Amount 97977.84
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 48
Number Of Medicare Beneficiaries With Drug Services 44
Total Drug Submitted ChargeAmount 3945
Total Drug Medicare AllowedAmount 3275.15
Total Drug Medicare PaymentAmount 3209.57
Total Drug Medicare Standardized Payment Amount 3209.57
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 50
Number Of Medical Services 1399
Number Of Medicare Beneficiaries With Medical Services 350
Total Medical Submitted Charge Amount 252166
Total Medical Medicare Allowed Amount 117301.29
Total Medical Medicare Payment Amount 88563.99
Total Medical Medicare Standardized Payment Amount 94768.27
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 63
Number Of Beneficiaries Age 65 to 74 139
Number Of Beneficiaries Age 75 to 84 96
Number Of Beneficiaries Age Greater 84 52
Number Of Female Beneficiaries 194
Number Of Male Beneficiaries 156
Number Of Non Hispanic White Beneficiaries 337
Number Of Black or African American Beneficiaries 13
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement 280
Number Of Beneficiaries With Medicare Medicaid Entitlement 70
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 25
Percent Of With Cancer 16
Percent Of With Heart Failure 41
Percent Of With Chronic Kidney Disease 42
Percent Of With Chronic Obstructive Pulmonary Disease 69
Percent Of With Depression 31
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 53
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 2.0085

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