National Provider Identifier [NPI]: |
1780632687 |
Last Name Of The Provider |
ARROWSMITH |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
605 GLENWOOD AVENUE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374041130 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
157 |
Number Of Services |
139822 |
Number Of Medicare Beneficiaries |
876 |
Total Submitted Charge Amount |
2996069 |
Total Medicare Allowed Amount |
1931743.76 |
Total Medicare Payment Amount |
1483431.39 |
Total Medicare Standardized Payment Amount |
1510817.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
71 |
Number Of Drug Services |
125629 |
Number Of Medicare Beneficiaries With Drug Services |
349 |
Total Drug Submitted ChargeAmount |
1978866 |
Total Drug Medicare AllowedAmount |
1510034.48 |
Total Drug Medicare PaymentAmount |
1158948.57 |
Total Drug Medicare Standardized Payment Amount |
1158948.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
14193 |
Number Of Medicare Beneficiaries With Medical Services |
876 |
Total Medical Submitted Charge Amount |
1017203 |
Total Medical Medicare Allowed Amount |
421709.28 |
Total Medical Medicare Payment Amount |
324482.82 |
Total Medical Medicare Standardized Payment Amount |
351868.75 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
371 |
Number Of Beneficiaries Age 75 to 84 |
288 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
504 |
Number Of Male Beneficiaries |
372 |
Number Of Non Hispanic White Beneficiaries |
801 |
Number Of Black or African American Beneficiaries |
64 |
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 |
734 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.9564 |