National Provider Identifier [NPI]: |
1215976527 |
Last Name Of The Provider |
CALENDINE |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3024 BUSINESS PARK CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOODLETTSVILLE |
Zip Code Of The Provider |
370723132 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
8065 |
Number Of Medicare Beneficiaries |
1744 |
Total Submitted Charge Amount |
833755.21 |
Total Medicare Allowed Amount |
146430.34 |
Total Medicare Payment Amount |
113163.4 |
Total Medicare Standardized Payment Amount |
117056.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
4820 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
1006.51 |
Total Drug Medicare AllowedAmount |
769.45 |
Total Drug Medicare PaymentAmount |
593.45 |
Total Drug Medicare Standardized Payment Amount |
593.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
168 |
Number Of Medical Services |
3245 |
Number Of Medicare Beneficiaries With Medical Services |
1744 |
Total Medical Submitted Charge Amount |
832748.7 |
Total Medical Medicare Allowed Amount |
145660.89 |
Total Medical Medicare Payment Amount |
112569.95 |
Total Medical Medicare Standardized Payment Amount |
116462.56 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
397 |
Number Of Beneficiaries Age 65 to 74 |
616 |
Number Of Beneficiaries Age 75 to 84 |
472 |
Number Of Beneficiaries Age Greater 84 |
259 |
Number Of Female Beneficiaries |
1038 |
Number Of Male Beneficiaries |
706 |
Number Of Non Hispanic White Beneficiaries |
1458 |
Number Of Black or African American Beneficiaries |
228 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
452 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8316 |