National Provider Identifier [NPI]: |
1730149907 |
Last Name Of The Provider |
CHAMBERS |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
213 NORTH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATTLE CREEK |
Zip Code Of The Provider |
490173430 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
3420 |
Number Of Medicare Beneficiaries |
726 |
Total Submitted Charge Amount |
400499 |
Total Medicare Allowed Amount |
249836.83 |
Total Medicare Payment Amount |
181961.12 |
Total Medicare Standardized Payment Amount |
193250.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
84 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
420 |
Total Drug Medicare AllowedAmount |
420 |
Total Drug Medicare PaymentAmount |
309.26 |
Total Drug Medicare Standardized Payment Amount |
309.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
3336 |
Number Of Medicare Beneficiaries With Medical Services |
726 |
Total Medical Submitted Charge Amount |
400079 |
Total Medical Medicare Allowed Amount |
249416.83 |
Total Medical Medicare Payment Amount |
181651.86 |
Total Medical Medicare Standardized Payment Amount |
192941.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
238 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
423 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
584 |
Number Of Black or African American Beneficiaries |
117 |
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 |
504 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
222 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7062 |