National Provider Identifier [NPI]: |
1437123726 |
Last Name Of The Provider |
CHANDLER |
First Name Of The Provider |
LUTHER |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1751 GUNBARREL RD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374217177 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
1429 |
Number Of Medicare Beneficiaries |
245 |
Total Submitted Charge Amount |
136764.35 |
Total Medicare Allowed Amount |
76221.73 |
Total Medicare Payment Amount |
47242.41 |
Total Medicare Standardized Payment Amount |
55310.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
387 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
7745 |
Total Drug Medicare AllowedAmount |
1175.84 |
Total Drug Medicare PaymentAmount |
845.47 |
Total Drug Medicare Standardized Payment Amount |
845.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
1042 |
Number Of Medicare Beneficiaries With Medical Services |
245 |
Total Medical Submitted Charge Amount |
129019.35 |
Total Medical Medicare Allowed Amount |
75045.89 |
Total Medical Medicare Payment Amount |
46396.94 |
Total Medical Medicare Standardized Payment Amount |
54465.31 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
117 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
210 |
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 |
228 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7735 |