National Provider Identifier [NPI]: |
1801857909 |
Last Name Of The Provider |
CHRISTIE |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
109 E CHURCH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARTERSVILLE |
Zip Code Of The Provider |
301203203 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
3861 |
Number Of Medicare Beneficiaries |
2440 |
Total Submitted Charge Amount |
257526.75 |
Total Medicare Allowed Amount |
90685.46 |
Total Medicare Payment Amount |
66595.13 |
Total Medicare Standardized Payment Amount |
67352.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
3861 |
Number Of Medicare Beneficiaries With Medical Services |
2440 |
Total Medical Submitted Charge Amount |
257526.75 |
Total Medical Medicare Allowed Amount |
90685.46 |
Total Medical Medicare Payment Amount |
66595.13 |
Total Medical Medicare Standardized Payment Amount |
67352.37 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
776 |
Number Of Beneficiaries Age 65 to 74 |
708 |
Number Of Beneficiaries Age 75 to 84 |
573 |
Number Of Beneficiaries Age Greater 84 |
383 |
Number Of Female Beneficiaries |
1379 |
Number Of Male Beneficiaries |
1061 |
Number Of Non Hispanic White Beneficiaries |
861 |
Number Of Black or African American Beneficiaries |
1484 |
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1098 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.5981 |