| National Provider Identifier [NPI]: | 1487682365 |
| Last Name Of The Provider | KENNEDY |
| First Name Of The Provider | CHRISTOPHER |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1 MEDICAL PARK BLVD |
| Street Address 2 Of The Provider | SUITE 458W |
| City Of The Provider | BRISTOL |
| Zip Code Of The Provider | 376200000 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 67 |
| Number Of Services | 4674 |
| Number Of Medicare Beneficiaries | 2005 |
| Total Submitted Charge Amount | 926513.75 |
| Total Medicare Allowed Amount | 291177.94 |
| Total Medicare Payment Amount | 215700.11 |
| Total Medicare Standardized Payment Amount | 230248.94 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 142 |
| Number Of Medicare Beneficiaries With Drug Services | 36 |
| Total Drug Submitted ChargeAmount | 23894 |
| Total Drug Medicare AllowedAmount | 7458.62 |
| Total Drug Medicare PaymentAmount | 5728.97 |
| Total Drug Medicare Standardized Payment Amount | 5728.97 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 65 |
| Number Of Medical Services | 4532 |
| Number Of Medicare Beneficiaries With Medical Services | 2005 |
| Total Medical Submitted Charge Amount | 902619.75 |
| Total Medical Medicare Allowed Amount | 283719.32 |
| Total Medical Medicare Payment Amount | 209971.14 |
| Total Medical Medicare Standardized Payment Amount | 224519.97 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 373 |
| Number Of Beneficiaries Age 65 to 74 | 722 |
| Number Of Beneficiaries Age 75 to 84 | 640 |
| Number Of Beneficiaries Age Greater 84 | 270 |
| Number Of Female Beneficiaries | 1046 |
| Number Of Male Beneficiaries | 959 |
| Number Of Non Hispanic White Beneficiaries | 1947 |
| Number Of Black or African American Beneficiaries | 34 |
| 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 | 1492 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 513 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 71 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5353 |