National Provider Identifier [NPI]: |
1306814520 |
Last Name Of The Provider |
BRUCE |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 CITICO AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374041127 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
8251 |
Number Of Medicare Beneficiaries |
2045 |
Total Submitted Charge Amount |
2117579 |
Total Medicare Allowed Amount |
590288.94 |
Total Medicare Payment Amount |
438604.64 |
Total Medicare Standardized Payment Amount |
478249.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
8251 |
Number Of Medicare Beneficiaries With Medical Services |
2045 |
Total Medical Submitted Charge Amount |
2117579 |
Total Medical Medicare Allowed Amount |
590288.94 |
Total Medical Medicare Payment Amount |
438604.64 |
Total Medical Medicare Standardized Payment Amount |
478249.48 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
708 |
Number Of Beneficiaries Age 75 to 84 |
775 |
Number Of Beneficiaries Age Greater 84 |
411 |
Number Of Female Beneficiaries |
930 |
Number Of Male Beneficiaries |
1115 |
Number Of Non Hispanic White Beneficiaries |
1943 |
Number Of Black or African American Beneficiaries |
84 |
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 |
1765 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
280 |
Percent Of With Atrial Fibrillation |
54 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6531 |