National Provider Identifier [NPI]: |
1750437927 |
Last Name Of The Provider |
CHANDLER |
First Name Of The Provider |
GERALD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1004 CORNERSTONE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PARIS |
Zip Code Of The Provider |
382425847 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
6173 |
Number Of Medicare Beneficiaries |
832 |
Total Submitted Charge Amount |
1977980.01 |
Total Medicare Allowed Amount |
443924.6 |
Total Medicare Payment Amount |
332639.95 |
Total Medicare Standardized Payment Amount |
365152.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2875 |
Number Of Medicare Beneficiaries With Drug Services |
325 |
Total Drug Submitted ChargeAmount |
79157 |
Total Drug Medicare AllowedAmount |
33208.88 |
Total Drug Medicare PaymentAmount |
25428.64 |
Total Drug Medicare Standardized Payment Amount |
25428.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
3298 |
Number Of Medicare Beneficiaries With Medical Services |
832 |
Total Medical Submitted Charge Amount |
1898823.01 |
Total Medical Medicare Allowed Amount |
410715.72 |
Total Medical Medicare Payment Amount |
307211.31 |
Total Medical Medicare Standardized Payment Amount |
339724.3 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
401 |
Number Of Beneficiaries Age 75 to 84 |
258 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
536 |
Number Of Male Beneficiaries |
296 |
Number Of Non Hispanic White Beneficiaries |
789 |
Number Of Black or African American Beneficiaries |
|
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 |
687 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
145 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0294 |