National Provider Identifier [NPI]: |
1699767764 |
Last Name Of The Provider |
DYER |
First Name Of The Provider |
CALVIN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3443 DICKERSON PIKE |
Street Address 2 Of The Provider |
SUITE 480 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372072519 |
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 |
99 |
Number Of Services |
2359 |
Number Of Medicare Beneficiaries |
418 |
Total Submitted Charge Amount |
685474 |
Total Medicare Allowed Amount |
184290.02 |
Total Medicare Payment Amount |
137650.17 |
Total Medicare Standardized Payment Amount |
148240.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
585 |
Number Of Medicare Beneficiaries With Drug Services |
232 |
Total Drug Submitted ChargeAmount |
68799 |
Total Drug Medicare AllowedAmount |
20112.99 |
Total Drug Medicare PaymentAmount |
15543.15 |
Total Drug Medicare Standardized Payment Amount |
15543.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
1774 |
Number Of Medicare Beneficiaries With Medical Services |
418 |
Total Medical Submitted Charge Amount |
616675 |
Total Medical Medicare Allowed Amount |
164177.03 |
Total Medical Medicare Payment Amount |
122107.02 |
Total Medical Medicare Standardized Payment Amount |
132697.44 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
381 |
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 |
385 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0982 |