National Provider Identifier [NPI]: |
1902845118 |
Last Name Of The Provider |
CIAN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3024 BUSINESS PARK CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOODLETTSVILLE |
Zip Code Of The Provider |
370723132 |
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 |
216 |
Number Of Services |
18666 |
Number Of Medicare Beneficiaries |
2370 |
Total Submitted Charge Amount |
1594836.11 |
Total Medicare Allowed Amount |
440665.59 |
Total Medicare Payment Amount |
340855.42 |
Total Medicare Standardized Payment Amount |
356961.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
14035 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
4146.56 |
Total Drug Medicare AllowedAmount |
3118 |
Total Drug Medicare PaymentAmount |
2366.21 |
Total Drug Medicare Standardized Payment Amount |
2366.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
200 |
Number Of Medical Services |
4631 |
Number Of Medicare Beneficiaries With Medical Services |
2368 |
Total Medical Submitted Charge Amount |
1590689.55 |
Total Medical Medicare Allowed Amount |
437547.59 |
Total Medical Medicare Payment Amount |
338489.21 |
Total Medical Medicare Standardized Payment Amount |
354595.66 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
532 |
Number Of Beneficiaries Age 65 to 74 |
963 |
Number Of Beneficiaries Age 75 to 84 |
604 |
Number Of Beneficiaries Age Greater 84 |
271 |
Number Of Female Beneficiaries |
1431 |
Number Of Male Beneficiaries |
939 |
Number Of Non Hispanic White Beneficiaries |
2089 |
Number Of Black or African American Beneficiaries |
221 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1832 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
538 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5059 |