National Provider Identifier [NPI]: |
1538109103 |
Last Name Of The Provider |
NAU |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
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 |
190 |
Number Of Services |
51837 |
Number Of Medicare Beneficiaries |
2744 |
Total Submitted Charge Amount |
2365996.1 |
Total Medicare Allowed Amount |
397792.38 |
Total Medicare Payment Amount |
304205.81 |
Total Medicare Standardized Payment Amount |
335220.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
47124 |
Number Of Medicare Beneficiaries With Drug Services |
453 |
Total Drug Submitted ChargeAmount |
41247.23 |
Total Drug Medicare AllowedAmount |
33722.27 |
Total Drug Medicare PaymentAmount |
25594.89 |
Total Drug Medicare Standardized Payment Amount |
25594.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
4713 |
Number Of Medicare Beneficiaries With Medical Services |
2739 |
Total Medical Submitted Charge Amount |
2324748.87 |
Total Medical Medicare Allowed Amount |
364070.11 |
Total Medical Medicare Payment Amount |
278610.92 |
Total Medical Medicare Standardized Payment Amount |
309625.47 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
543 |
Number Of Beneficiaries Age 65 to 74 |
1062 |
Number Of Beneficiaries Age 75 to 84 |
819 |
Number Of Beneficiaries Age Greater 84 |
320 |
Number Of Female Beneficiaries |
1566 |
Number Of Male Beneficiaries |
1178 |
Number Of Non Hispanic White Beneficiaries |
2396 |
Number Of Black or African American Beneficiaries |
288 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
21 |
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 |
2173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
571 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6062 |