National Provider Identifier [NPI]: |
1366751240 |
Last Name Of The Provider |
YOAKUM |
First Name Of The Provider |
SAMUEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9430 PARK WEST BLVD |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379234200 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2824 |
Number Of Medicare Beneficiaries |
515 |
Total Submitted Charge Amount |
1105942 |
Total Medicare Allowed Amount |
236199.28 |
Total Medicare Payment Amount |
177757.7 |
Total Medicare Standardized Payment Amount |
182407.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
234 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
1731 |
Total Drug Medicare AllowedAmount |
1203.99 |
Total Drug Medicare PaymentAmount |
943.86 |
Total Drug Medicare Standardized Payment Amount |
943.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2590 |
Number Of Medicare Beneficiaries With Medical Services |
515 |
Total Medical Submitted Charge Amount |
1104211 |
Total Medical Medicare Allowed Amount |
234995.29 |
Total Medical Medicare Payment Amount |
176813.84 |
Total Medical Medicare Standardized Payment Amount |
181463.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
497 |
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 |
463 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1246 |