National Provider Identifier [NPI]: |
1548234826 |
Last Name Of The Provider |
CYLEMAN |
First Name Of The Provider |
NABIL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
960 E 3RD ST |
Street Address 2 Of The Provider |
STE 400 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
37403 |
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 |
56 |
Number Of Services |
10403 |
Number Of Medicare Beneficiaries |
495 |
Total Submitted Charge Amount |
1025361.34 |
Total Medicare Allowed Amount |
501967.73 |
Total Medicare Payment Amount |
374048.82 |
Total Medicare Standardized Payment Amount |
413437.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1658 |
Number Of Medicare Beneficiaries With Drug Services |
370 |
Total Drug Submitted ChargeAmount |
42838 |
Total Drug Medicare AllowedAmount |
8903 |
Total Drug Medicare PaymentAmount |
7034.39 |
Total Drug Medicare Standardized Payment Amount |
7034.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
8745 |
Number Of Medicare Beneficiaries With Medical Services |
495 |
Total Medical Submitted Charge Amount |
982523.34 |
Total Medical Medicare Allowed Amount |
493064.73 |
Total Medical Medicare Payment Amount |
367014.43 |
Total Medical Medicare Standardized Payment Amount |
406402.98 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
299 |
Number Of Beneficiaries Age 65 to 74 |
143 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
253 |
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 |
118 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
377 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
67 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.8067 |