National Provider Identifier [NPI]: |
1013991850 |
Last Name Of The Provider |
NG |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 PATTERSON STREET |
Street Address 2 Of The Provider |
CENTENNIAL MEDICAL CENTER |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
37203 |
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 |
127 |
Number Of Services |
4126 |
Number Of Medicare Beneficiaries |
2523 |
Total Submitted Charge Amount |
412134.75 |
Total Medicare Allowed Amount |
131574.51 |
Total Medicare Payment Amount |
100798.53 |
Total Medicare Standardized Payment Amount |
108109.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
764 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
3820 |
Total Drug Medicare AllowedAmount |
1516.97 |
Total Drug Medicare PaymentAmount |
1189.32 |
Total Drug Medicare Standardized Payment Amount |
1189.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
3362 |
Number Of Medicare Beneficiaries With Medical Services |
2523 |
Total Medical Submitted Charge Amount |
408314.75 |
Total Medical Medicare Allowed Amount |
130057.54 |
Total Medical Medicare Payment Amount |
99609.21 |
Total Medical Medicare Standardized Payment Amount |
106920.01 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
567 |
Number Of Beneficiaries Age 65 to 74 |
910 |
Number Of Beneficiaries Age 75 to 84 |
684 |
Number Of Beneficiaries Age Greater 84 |
362 |
Number Of Female Beneficiaries |
1437 |
Number Of Male Beneficiaries |
1086 |
Number Of Non Hispanic White Beneficiaries |
2197 |
Number Of Black or African American Beneficiaries |
265 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1841 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
682 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8555 |