National Provider Identifier [NPI]: |
1023071479 |
Last Name Of The Provider |
OSER |
First Name Of The Provider |
ALLEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
810 SAINT VINCENTS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051601 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
3556 |
Number Of Medicare Beneficiaries |
2427 |
Total Submitted Charge Amount |
1007105 |
Total Medicare Allowed Amount |
210766.83 |
Total Medicare Payment Amount |
156837.75 |
Total Medicare Standardized Payment Amount |
170714.78 |
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 |
57 |
Number Of Medical Services |
3556 |
Number Of Medicare Beneficiaries With Medical Services |
2427 |
Total Medical Submitted Charge Amount |
1007105 |
Total Medical Medicare Allowed Amount |
210766.83 |
Total Medical Medicare Payment Amount |
156837.75 |
Total Medical Medicare Standardized Payment Amount |
170714.78 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
343 |
Number Of Beneficiaries Age 65 to 74 |
850 |
Number Of Beneficiaries Age 75 to 84 |
728 |
Number Of Beneficiaries Age Greater 84 |
506 |
Number Of Female Beneficiaries |
1540 |
Number Of Male Beneficiaries |
887 |
Number Of Non Hispanic White Beneficiaries |
2061 |
Number Of Black or African American Beneficiaries |
337 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
2123 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
304 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.4975 |