| National Provider Identifier [NPI]: | 1174573653 |
| Last Name Of The Provider | TOMBUL |
| First Name Of The Provider | SELCUK |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | DO |
| 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 III, SUITE 200 |
| 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 | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 71 |
| Number Of Services | 10610 |
| Number Of Medicare Beneficiaries | 1531 |
| Total Submitted Charge Amount | 1483236.5 |
| Total Medicare Allowed Amount | 880871.89 |
| Total Medicare Payment Amount | 665640.93 |
| Total Medicare Standardized Payment Amount | 716236.08 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 2097 |
| Number Of Medicare Beneficiaries With Drug Services | 521 |
| Total Drug Submitted ChargeAmount | 120577.5 |
| Total Drug Medicare AllowedAmount | 111061.12 |
| Total Drug Medicare PaymentAmount | 85535.46 |
| Total Drug Medicare Standardized Payment Amount | 85535.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 70 |
| Number Of Medical Services | 8513 |
| Number Of Medicare Beneficiaries With Medical Services | 1531 |
| Total Medical Submitted Charge Amount | 1362659 |
| Total Medical Medicare Allowed Amount | 769810.77 |
| Total Medical Medicare Payment Amount | 580105.47 |
| Total Medical Medicare Standardized Payment Amount | 630700.62 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 229 |
| Number Of Beneficiaries Age 65 to 74 | 603 |
| Number Of Beneficiaries Age 75 to 84 | 500 |
| Number Of Beneficiaries Age Greater 84 | 199 |
| Number Of Female Beneficiaries | 787 |
| Number Of Male Beneficiaries | 744 |
| Number Of Non Hispanic White Beneficiaries | 1333 |
| Number Of Black or African American Beneficiaries | 175 |
| 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 | 1152 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 379 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 73 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.7938 |