National Provider Identifier [NPI]: |
1386609055 |
Last Name Of The Provider |
MEMON |
First Name Of The Provider |
NAVEED |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2341 MCCALLIE AVE |
Street Address 2 Of The Provider |
PLAZA 3, SUITE 201 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374043239 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2685 |
Number Of Medicare Beneficiaries |
793 |
Total Submitted Charge Amount |
515122 |
Total Medicare Allowed Amount |
218107.7 |
Total Medicare Payment Amount |
162665.09 |
Total Medicare Standardized Payment Amount |
172372.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
101 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1428 |
Total Drug Medicare AllowedAmount |
377.68 |
Total Drug Medicare PaymentAmount |
330.19 |
Total Drug Medicare Standardized Payment Amount |
330.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2584 |
Number Of Medicare Beneficiaries With Medical Services |
792 |
Total Medical Submitted Charge Amount |
513694 |
Total Medical Medicare Allowed Amount |
217730.02 |
Total Medical Medicare Payment Amount |
162334.9 |
Total Medical Medicare Standardized Payment Amount |
172042.68 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
255 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
469 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
647 |
Number Of Black or African American Beneficiaries |
129 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
435 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
358 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8444 |