National Provider Identifier [NPI]: |
1760452486 |
Last Name Of The Provider |
ALEXANDER |
First Name Of The Provider |
CHELLEY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 HEART DR |
Street Address 2 Of The Provider |
ECU FAMILY MEDICINE |
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
278348982 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
1037 |
Number Of Medicare Beneficiaries |
298 |
Total Submitted Charge Amount |
50387.62 |
Total Medicare Allowed Amount |
37079.85 |
Total Medicare Payment Amount |
26300.56 |
Total Medicare Standardized Payment Amount |
28373.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
787 |
Total Drug Medicare AllowedAmount |
418.17 |
Total Drug Medicare PaymentAmount |
392 |
Total Drug Medicare Standardized Payment Amount |
392 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
989 |
Number Of Medicare Beneficiaries With Medical Services |
298 |
Total Medical Submitted Charge Amount |
49600.62 |
Total Medical Medicare Allowed Amount |
36661.68 |
Total Medical Medicare Payment Amount |
25908.56 |
Total Medical Medicare Standardized Payment Amount |
27981.56 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
148 |
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 |
104 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3879 |