National Provider Identifier [NPI]: |
1770522609 |
Last Name Of The Provider |
CHANDLER |
First Name Of The Provider |
ROBIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5900 INLAND SHORES WAY N |
Street Address 2 Of The Provider |
|
City Of The Provider |
KEIZER |
Zip Code Of The Provider |
973033883 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
4661 |
Number Of Medicare Beneficiaries |
294 |
Total Submitted Charge Amount |
321044.5 |
Total Medicare Allowed Amount |
126623.72 |
Total Medicare Payment Amount |
98104.06 |
Total Medicare Standardized Payment Amount |
103581.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
588 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
6542 |
Total Drug Medicare AllowedAmount |
4183.93 |
Total Drug Medicare PaymentAmount |
4017.52 |
Total Drug Medicare Standardized Payment Amount |
4017.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
148 |
Number Of Medical Services |
4073 |
Number Of Medicare Beneficiaries With Medical Services |
294 |
Total Medical Submitted Charge Amount |
314502.5 |
Total Medical Medicare Allowed Amount |
122439.79 |
Total Medical Medicare Payment Amount |
94086.54 |
Total Medical Medicare Standardized Payment Amount |
99563.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
132 |
Number Of Beneficiaries Age 75 to 84 |
84 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
62 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
257 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1101 |