National Provider Identifier [NPI]: |
1013184340 |
Last Name Of The Provider |
SAVA |
First Name Of The Provider |
MELINDA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3024 BUSINESS PARK CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOODLETTSVILLE |
Zip Code Of The Provider |
370723132 |
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 |
32 |
Number Of Services |
5964 |
Number Of Medicare Beneficiaries |
2399 |
Total Submitted Charge Amount |
547873.5 |
Total Medicare Allowed Amount |
119440.85 |
Total Medicare Payment Amount |
104748.37 |
Total Medicare Standardized Payment Amount |
111630.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
925 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
333 |
Total Drug Medicare AllowedAmount |
333 |
Total Drug Medicare PaymentAmount |
261.09 |
Total Drug Medicare Standardized Payment Amount |
261.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
5039 |
Number Of Medicare Beneficiaries With Medical Services |
2399 |
Total Medical Submitted Charge Amount |
547540.5 |
Total Medical Medicare Allowed Amount |
119107.85 |
Total Medical Medicare Payment Amount |
104487.28 |
Total Medical Medicare Standardized Payment Amount |
111369.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
1340 |
Number Of Beneficiaries Age 75 to 84 |
743 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
2357 |
Number Of Male Beneficiaries |
42 |
Number Of Non Hispanic White Beneficiaries |
2139 |
Number Of Black or African American Beneficiaries |
219 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8395 |