National Provider Identifier [NPI]: |
1134126246 |
Last Name Of The Provider |
CHAMBERLAIN |
First Name Of The Provider |
NATHAN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
251 N LYERLY ST STE 100 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374042728 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
29821 |
Number Of Medicare Beneficiaries |
1573 |
Total Submitted Charge Amount |
1258061 |
Total Medicare Allowed Amount |
624379.87 |
Total Medicare Payment Amount |
488865.61 |
Total Medicare Standardized Payment Amount |
516545.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
18929 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
116065 |
Total Drug Medicare AllowedAmount |
67660.43 |
Total Drug Medicare PaymentAmount |
51278.58 |
Total Drug Medicare Standardized Payment Amount |
51278.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
10892 |
Number Of Medicare Beneficiaries With Medical Services |
1572 |
Total Medical Submitted Charge Amount |
1141996 |
Total Medical Medicare Allowed Amount |
556719.44 |
Total Medical Medicare Payment Amount |
437587.03 |
Total Medical Medicare Standardized Payment Amount |
465266.65 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
348 |
Number Of Beneficiaries Age 65 to 74 |
553 |
Number Of Beneficiaries Age 75 to 84 |
474 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
822 |
Number Of Male Beneficiaries |
751 |
Number Of Non Hispanic White Beneficiaries |
1283 |
Number Of Black or African American Beneficiaries |
270 |
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 |
1116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
457 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
3.0895 |