National Provider Identifier [NPI]: |
1417973249 |
Last Name Of The Provider |
CALENDINE |
First Name Of The Provider |
CORY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
206 BEDFORD WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRANKLIN |
Zip Code Of The Provider |
370645526 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
5380 |
Number Of Medicare Beneficiaries |
666 |
Total Submitted Charge Amount |
1870881 |
Total Medicare Allowed Amount |
439245.24 |
Total Medicare Payment Amount |
332127.63 |
Total Medicare Standardized Payment Amount |
359574.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1851 |
Number Of Medicare Beneficiaries With Drug Services |
316 |
Total Drug Submitted ChargeAmount |
200630 |
Total Drug Medicare AllowedAmount |
58221.78 |
Total Drug Medicare PaymentAmount |
44552.2 |
Total Drug Medicare Standardized Payment Amount |
44552.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3529 |
Number Of Medicare Beneficiaries With Medical Services |
666 |
Total Medical Submitted Charge Amount |
1670251 |
Total Medical Medicare Allowed Amount |
381023.46 |
Total Medical Medicare Payment Amount |
287575.43 |
Total Medical Medicare Standardized Payment Amount |
315022.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
327 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
428 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
631 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
620 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9826 |