National Provider Identifier [NPI]: |
1770552937 |
Last Name Of The Provider |
CALHOUN |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
260 FORT SANDERS WEST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379223355 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
3942 |
Number Of Medicare Beneficiaries |
621 |
Total Submitted Charge Amount |
780289 |
Total Medicare Allowed Amount |
258090.14 |
Total Medicare Payment Amount |
190986.81 |
Total Medicare Standardized Payment Amount |
210559.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1497 |
Number Of Medicare Beneficiaries With Drug Services |
237 |
Total Drug Submitted ChargeAmount |
40500 |
Total Drug Medicare AllowedAmount |
20775.9 |
Total Drug Medicare PaymentAmount |
16035.84 |
Total Drug Medicare Standardized Payment Amount |
16035.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
2445 |
Number Of Medicare Beneficiaries With Medical Services |
620 |
Total Medical Submitted Charge Amount |
739789 |
Total Medical Medicare Allowed Amount |
237314.24 |
Total Medical Medicare Payment Amount |
174950.97 |
Total Medical Medicare Standardized Payment Amount |
194523.67 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
587 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
522 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9925 |