National Provider Identifier [NPI]: |
1326069089 |
Last Name Of The Provider |
MCPHERSON |
First Name Of The Provider |
GARTH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1949 GUNBARREL RD |
Street Address 2 Of The Provider |
STE 170 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
37421 |
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 |
194 |
Number Of Services |
40289 |
Number Of Medicare Beneficiaries |
4032 |
Total Submitted Charge Amount |
3099243.82 |
Total Medicare Allowed Amount |
714145.08 |
Total Medicare Payment Amount |
556999.06 |
Total Medicare Standardized Payment Amount |
597441.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
34057 |
Number Of Medicare Beneficiaries With Drug Services |
435 |
Total Drug Submitted ChargeAmount |
81854.82 |
Total Drug Medicare AllowedAmount |
12683.18 |
Total Drug Medicare PaymentAmount |
9782.97 |
Total Drug Medicare Standardized Payment Amount |
9782.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
184 |
Number Of Medical Services |
6232 |
Number Of Medicare Beneficiaries With Medical Services |
4028 |
Total Medical Submitted Charge Amount |
3017389 |
Total Medical Medicare Allowed Amount |
701461.9 |
Total Medical Medicare Payment Amount |
547216.09 |
Total Medical Medicare Standardized Payment Amount |
587658.5 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
890 |
Number Of Beneficiaries Age 65 to 74 |
1684 |
Number Of Beneficiaries Age 75 to 84 |
1097 |
Number Of Beneficiaries Age Greater 84 |
361 |
Number Of Female Beneficiaries |
2776 |
Number Of Male Beneficiaries |
1256 |
Number Of Non Hispanic White Beneficiaries |
3691 |
Number Of Black or African American Beneficiaries |
276 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2915 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1117 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3227 |