National Provider Identifier [NPI]: |
1841369675 |
Last Name Of The Provider |
PARDUE |
First Name Of The Provider |
CHRIS |
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 |
24 WHITE BRIDGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372051411 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
8997 |
Number Of Medicare Beneficiaries |
1619 |
Total Submitted Charge Amount |
861065 |
Total Medicare Allowed Amount |
478883.39 |
Total Medicare Payment Amount |
344407.77 |
Total Medicare Standardized Payment Amount |
369983.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
303 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
13045 |
Total Drug Medicare AllowedAmount |
11887.24 |
Total Drug Medicare PaymentAmount |
9112.9 |
Total Drug Medicare Standardized Payment Amount |
9112.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
8694 |
Number Of Medicare Beneficiaries With Medical Services |
1619 |
Total Medical Submitted Charge Amount |
848020 |
Total Medical Medicare Allowed Amount |
466996.15 |
Total Medical Medicare Payment Amount |
335294.87 |
Total Medical Medicare Standardized Payment Amount |
360870.33 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
832 |
Number Of Beneficiaries Age 75 to 84 |
493 |
Number Of Beneficiaries Age Greater 84 |
200 |
Number Of Female Beneficiaries |
837 |
Number Of Male Beneficiaries |
782 |
Number Of Non Hispanic White Beneficiaries |
1525 |
Number Of Black or African American Beneficiaries |
52 |
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 |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9364 |