National Provider Identifier [NPI]: |
1629073846 |
Last Name Of The Provider |
SWEET |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 MED TECH PKWY |
Street Address 2 Of The Provider |
STE 240 |
City Of The Provider |
JOHNSON CITY |
Zip Code Of The Provider |
376042364 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
6772 |
Number Of Medicare Beneficiaries |
525 |
Total Submitted Charge Amount |
444934.19 |
Total Medicare Allowed Amount |
208028.27 |
Total Medicare Payment Amount |
158835.61 |
Total Medicare Standardized Payment Amount |
169227.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
926 |
Number Of Medicare Beneficiaries With Drug Services |
219 |
Total Drug Submitted ChargeAmount |
24850 |
Total Drug Medicare AllowedAmount |
16394.83 |
Total Drug Medicare PaymentAmount |
13792.6 |
Total Drug Medicare Standardized Payment Amount |
13792.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
5846 |
Number Of Medicare Beneficiaries With Medical Services |
525 |
Total Medical Submitted Charge Amount |
420084.19 |
Total Medical Medicare Allowed Amount |
191633.44 |
Total Medical Medicare Payment Amount |
145043.01 |
Total Medical Medicare Standardized Payment Amount |
155434.84 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
301 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
507 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3923 |