Medicare Facts for Dr. Claude M. Galphin, MD


National Provider Identifier [NPI]: 1700883816
Last Name Of The Provider GALPHIN
First Name Of The Provider CLAUDE
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 251 N LYERLY ST
Street Address 2 Of The Provider SUITE 100
City Of The Provider CHATTANOOGA
Zip Code Of The Provider 374042739
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Nephrology
Medicare Participation Indicator Y
Number Of HCPCS 73
Number Of Services 23934
Number Of Medicare Beneficiaries 1204
Total Submitted Charge Amount 1195704.62
Total Medicare Allowed Amount 603000.82
Total Medicare Payment Amount 472918.37
Total Medicare Standardized Payment Amount 497413.19
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 15426
Number Of Medicare Beneficiaries With Drug Services 103
Total Drug Submitted ChargeAmount 99646.4
Total Drug Medicare AllowedAmount 58069.17
Total Drug Medicare PaymentAmount 45180.33
Total Drug Medicare Standardized Payment Amount 45180.33
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 66
Number Of Medical Services 8508
Number Of Medicare Beneficiaries With Medical Services 1203
Total Medical Submitted Charge Amount 1096058.22
Total Medical Medicare Allowed Amount 544931.65
Total Medical Medicare Payment Amount 427738.04
Total Medical Medicare Standardized Payment Amount 452232.86
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 296
Number Of Beneficiaries Age 65 to 74 397
Number Of Beneficiaries Age 75 to 84 367
Number Of Beneficiaries Age Greater 84 144
Number Of Female Beneficiaries 601
Number Of Male Beneficiaries 603
Number Of Non Hispanic White Beneficiaries 907
Number Of Black or African American Beneficiaries 283
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 831
Number Of Beneficiaries With Medicare Medicaid Entitlement 373
Percent Of With Atrial Fibrillation 25
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 10
Percent Of With Cancer 11
Percent Of With Heart Failure 55
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 31
Percent Of With Depression 27
Percent Of With Diabetes 64
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 63
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 3.7329

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