National Provider Identifier [NPI]: |
1740337625 |
Last Name Of The Provider |
THROCKMORTON |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 S GERMANTOWN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GERMANTOWN |
Zip Code Of The Provider |
381382205 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
6248 |
Number Of Medicare Beneficiaries |
711 |
Total Submitted Charge Amount |
1376716 |
Total Medicare Allowed Amount |
398837.39 |
Total Medicare Payment Amount |
295222.02 |
Total Medicare Standardized Payment Amount |
302051.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
479 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
22992 |
Total Drug Medicare AllowedAmount |
1434.05 |
Total Drug Medicare PaymentAmount |
1080.02 |
Total Drug Medicare Standardized Payment Amount |
1080.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
5769 |
Number Of Medicare Beneficiaries With Medical Services |
709 |
Total Medical Submitted Charge Amount |
1353724 |
Total Medical Medicare Allowed Amount |
397403.34 |
Total Medical Medicare Payment Amount |
294142 |
Total Medical Medicare Standardized Payment Amount |
300971.96 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
345 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
426 |
Number Of Male Beneficiaries |
285 |
Number Of Non Hispanic White Beneficiaries |
599 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
629 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1118 |