National Provider Identifier [NPI]: |
1134320476 |
Last Name Of The Provider |
ATCHLEY |
First Name Of The Provider |
ALLEN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 CITICO AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374041127 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
6228 |
Number Of Medicare Beneficiaries |
3350 |
Total Submitted Charge Amount |
1080761 |
Total Medicare Allowed Amount |
312004.7 |
Total Medicare Payment Amount |
226478.96 |
Total Medicare Standardized Payment Amount |
242546.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
6228 |
Number Of Medicare Beneficiaries With Medical Services |
3350 |
Total Medical Submitted Charge Amount |
1080761 |
Total Medical Medicare Allowed Amount |
312004.7 |
Total Medical Medicare Payment Amount |
226478.96 |
Total Medical Medicare Standardized Payment Amount |
242546.35 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
378 |
Number Of Beneficiaries Age 65 to 74 |
1286 |
Number Of Beneficiaries Age 75 to 84 |
1173 |
Number Of Beneficiaries Age Greater 84 |
513 |
Number Of Female Beneficiaries |
1686 |
Number Of Male Beneficiaries |
1664 |
Number Of Non Hispanic White Beneficiaries |
3124 |
Number Of Black or African American Beneficiaries |
180 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
2839 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
511 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5147 |