National Provider Identifier [NPI]: |
1730380304 |
Last Name Of The Provider |
LEDBETTER |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
57 GERMANTOWN CT |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
CORDOVA |
Zip Code Of The Provider |
380187273 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
1710 |
Number Of Medicare Beneficiaries |
519 |
Total Submitted Charge Amount |
620318.5 |
Total Medicare Allowed Amount |
177106.33 |
Total Medicare Payment Amount |
132152.16 |
Total Medicare Standardized Payment Amount |
139260.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
289 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
133570 |
Total Drug Medicare AllowedAmount |
37206.64 |
Total Drug Medicare PaymentAmount |
27274.62 |
Total Drug Medicare Standardized Payment Amount |
27274.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
1421 |
Number Of Medicare Beneficiaries With Medical Services |
519 |
Total Medical Submitted Charge Amount |
486748.5 |
Total Medical Medicare Allowed Amount |
139899.69 |
Total Medical Medicare Payment Amount |
104877.54 |
Total Medical Medicare Standardized Payment Amount |
111985.44 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
168 |
Number Of Male Beneficiaries |
351 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
354 |
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 |
294 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
225 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.5912 |