Medicare Facts for Dr. Kathy N. Chism, MD


National Provider Identifier [NPI]: 1710929484
Last Name Of The Provider CHISM
First Name Of The Provider KATHY
Middle Initial Of The Provider N
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 201 E EMORY RD
Street Address 2 Of The Provider
City Of The Provider POWELL
Zip Code Of The Provider 378494016
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 82
Number Of Services 1588
Number Of Medicare Beneficiaries 70
Total Submitted Charge Amount 88329
Total Medicare Allowed Amount 45642.69
Total Medicare Payment Amount 34239.58
Total Medicare Standardized Payment Amount 37570.91
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 74
Number Of Medicare Beneficiaries With Drug Services 35
Total Drug Submitted ChargeAmount 1827
Total Drug Medicare AllowedAmount 1302.73
Total Drug Medicare PaymentAmount 1253.33
Total Drug Medicare Standardized Payment Amount 1253.33
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 74
Number Of Medical Services 1514
Number Of Medicare Beneficiaries With Medical Services 70
Total Medical Submitted Charge Amount 86502
Total Medical Medicare Allowed Amount 44339.96
Total Medical Medicare Payment Amount 32986.25
Total Medical Medicare Standardized Payment Amount 36317.58
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 36
Number Of Beneficiaries Age 75 to 84 16
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 55
Number Of Male Beneficiaries 15
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 17
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8738

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