National Provider Identifier [NPI]: |
1477596328 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
975 EAST THIRD STREET |
Street Address 2 Of The Provider |
ATTN: PROVIDER ENROLLMENT |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374032147 |
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 |
63 |
Number Of Services |
2275 |
Number Of Medicare Beneficiaries |
926 |
Total Submitted Charge Amount |
397206 |
Total Medicare Allowed Amount |
179634.76 |
Total Medicare Payment Amount |
135884.04 |
Total Medicare Standardized Payment Amount |
147225.52 |
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 |
63 |
Number Of Medical Services |
2275 |
Number Of Medicare Beneficiaries With Medical Services |
926 |
Total Medical Submitted Charge Amount |
397206 |
Total Medical Medicare Allowed Amount |
179634.76 |
Total Medical Medicare Payment Amount |
135884.04 |
Total Medical Medicare Standardized Payment Amount |
147225.52 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
352 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
461 |
Number Of Male Beneficiaries |
465 |
Number Of Non Hispanic White Beneficiaries |
806 |
Number Of Black or African American Beneficiaries |
96 |
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 |
653 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
273 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.9038 |