National Provider Identifier [NPI]: |
1144295221 |
Last Name Of The Provider |
ALILONU |
First Name Of The Provider |
GEOFFREY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4400 WATERMELON RD STE B |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTHPORT |
Zip Code Of The Provider |
354735204 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
5207 |
Number Of Medicare Beneficiaries |
916 |
Total Submitted Charge Amount |
1231540 |
Total Medicare Allowed Amount |
621944.56 |
Total Medicare Payment Amount |
479721.04 |
Total Medicare Standardized Payment Amount |
509861.32 |
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 |
32 |
Number Of Medical Services |
5207 |
Number Of Medicare Beneficiaries With Medical Services |
916 |
Total Medical Submitted Charge Amount |
1231540 |
Total Medical Medicare Allowed Amount |
621944.56 |
Total Medical Medicare Payment Amount |
479721.04 |
Total Medical Medicare Standardized Payment Amount |
509861.32 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
274 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
531 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
571 |
Number Of Black or African American Beneficiaries |
|
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 |
535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
381 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.7419 |