National Provider Identifier [NPI]: |
1972573251 |
Last Name Of The Provider |
BLUM |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
850 5TH AVE E |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354017419 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
2510 |
Number Of Medicare Beneficiaries |
539 |
Total Submitted Charge Amount |
94151 |
Total Medicare Allowed Amount |
71708.89 |
Total Medicare Payment Amount |
51199.48 |
Total Medicare Standardized Payment Amount |
55789.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
156 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
1916 |
Total Drug Medicare AllowedAmount |
1343.71 |
Total Drug Medicare PaymentAmount |
1297.94 |
Total Drug Medicare Standardized Payment Amount |
1297.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
2354 |
Number Of Medicare Beneficiaries With Medical Services |
539 |
Total Medical Submitted Charge Amount |
92235 |
Total Medical Medicare Allowed Amount |
70365.18 |
Total Medical Medicare Payment Amount |
49901.54 |
Total Medical Medicare Standardized Payment Amount |
54491.67 |
Average Age Of Beneficiaries |
59 |
Number Of Beneficiaries Age Less65 |
314 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
348 |
Number Of Male Beneficiaries |
191 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
278 |
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 |
181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
358 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1899 |