National Provider Identifier [NPI]: |
1619970688 |
Last Name Of The Provider |
BUECHNER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7695 POPLAR PIKE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
GERMANTOWN |
Zip Code Of The Provider |
381385947 |
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 |
231 |
Number Of Services |
4452 |
Number Of Medicare Beneficiaries |
3073 |
Total Submitted Charge Amount |
1173035 |
Total Medicare Allowed Amount |
229707.04 |
Total Medicare Payment Amount |
176976.18 |
Total Medicare Standardized Payment Amount |
188465.52 |
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 |
231 |
Number Of Medical Services |
4452 |
Number Of Medicare Beneficiaries With Medical Services |
3073 |
Total Medical Submitted Charge Amount |
1173035 |
Total Medical Medicare Allowed Amount |
229707.04 |
Total Medical Medicare Payment Amount |
176976.18 |
Total Medical Medicare Standardized Payment Amount |
188465.52 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
740 |
Number Of Beneficiaries Age 65 to 74 |
1073 |
Number Of Beneficiaries Age 75 to 84 |
798 |
Number Of Beneficiaries Age Greater 84 |
462 |
Number Of Female Beneficiaries |
1773 |
Number Of Male Beneficiaries |
1300 |
Number Of Non Hispanic White Beneficiaries |
1727 |
Number Of Black or African American Beneficiaries |
1288 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
2037 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1036 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
2.1229 |