National Provider Identifier [NPI]: |
1063418622 |
Last Name Of The Provider |
CURRIN |
First Name Of The Provider |
SAMUEL |
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 |
725 GLENWOOD DR |
Street Address 2 Of The Provider |
STE E780 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374041177 |
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 |
74 |
Number Of Services |
5272 |
Number Of Medicare Beneficiaries |
909 |
Total Submitted Charge Amount |
786264 |
Total Medicare Allowed Amount |
336793.45 |
Total Medicare Payment Amount |
246838.04 |
Total Medicare Standardized Payment Amount |
263794.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
845 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
152915 |
Total Drug Medicare AllowedAmount |
97027.76 |
Total Drug Medicare PaymentAmount |
73708.37 |
Total Drug Medicare Standardized Payment Amount |
73708.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
4427 |
Number Of Medicare Beneficiaries With Medical Services |
909 |
Total Medical Submitted Charge Amount |
633349 |
Total Medical Medicare Allowed Amount |
239765.69 |
Total Medical Medicare Payment Amount |
173129.67 |
Total Medical Medicare Standardized Payment Amount |
190086.16 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
332 |
Number Of Beneficiaries Age 75 to 84 |
386 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
775 |
Number Of Non Hispanic White Beneficiaries |
864 |
Number Of Black or African American Beneficiaries |
25 |
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 |
871 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1934 |