National Provider Identifier [NPI]: |
1992786982 |
Last Name Of The Provider |
HOVIS |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10810 PARKSIDE DR |
Street Address 2 Of The Provider |
SUITE 209 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379341979 |
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 |
98 |
Number Of Services |
4492 |
Number Of Medicare Beneficiaries |
272 |
Total Submitted Charge Amount |
733326.5 |
Total Medicare Allowed Amount |
190566.99 |
Total Medicare Payment Amount |
142601.63 |
Total Medicare Standardized Payment Amount |
157097.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2988 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
28240 |
Total Drug Medicare AllowedAmount |
11426.41 |
Total Drug Medicare PaymentAmount |
8771.83 |
Total Drug Medicare Standardized Payment Amount |
8771.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
1504 |
Number Of Medicare Beneficiaries With Medical Services |
272 |
Total Medical Submitted Charge Amount |
705086.5 |
Total Medical Medicare Allowed Amount |
179140.58 |
Total Medical Medicare Payment Amount |
133829.8 |
Total Medical Medicare Standardized Payment Amount |
148325.89 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
153 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
109 |
Number Of Non Hispanic White Beneficiaries |
259 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
252 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9336 |