National Provider Identifier [NPI]: |
1174570493 |
Last Name Of The Provider |
ALBRITTON |
First Name Of The Provider |
GALEN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 S WILLIS ST |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
ABILENE |
Zip Code Of The Provider |
796056287 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
2595 |
Number Of Medicare Beneficiaries |
545 |
Total Submitted Charge Amount |
304214.58 |
Total Medicare Allowed Amount |
201610.86 |
Total Medicare Payment Amount |
143822.37 |
Total Medicare Standardized Payment Amount |
155154.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
119 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
486.58 |
Total Drug Medicare AllowedAmount |
271.73 |
Total Drug Medicare PaymentAmount |
208.77 |
Total Drug Medicare Standardized Payment Amount |
208.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
2476 |
Number Of Medicare Beneficiaries With Medical Services |
545 |
Total Medical Submitted Charge Amount |
303728 |
Total Medical Medicare Allowed Amount |
201339.13 |
Total Medical Medicare Payment Amount |
143613.6 |
Total Medical Medicare Standardized Payment Amount |
154946.15 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
193 |
Number Of Non Hispanic White Beneficiaries |
452 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
452 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6709 |