National Provider Identifier [NPI]: |
1457341281 |
Last Name Of The Provider |
ALCORN |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1373 E STATE ROAD 62 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
472507328 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
6498 |
Number Of Medicare Beneficiaries |
1233 |
Total Submitted Charge Amount |
1059659.05 |
Total Medicare Allowed Amount |
357669.71 |
Total Medicare Payment Amount |
263485.41 |
Total Medicare Standardized Payment Amount |
278511.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
941 |
Number Of Medicare Beneficiaries With Drug Services |
289 |
Total Drug Submitted ChargeAmount |
26927 |
Total Drug Medicare AllowedAmount |
11481.24 |
Total Drug Medicare PaymentAmount |
10687.16 |
Total Drug Medicare Standardized Payment Amount |
10687.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
5557 |
Number Of Medicare Beneficiaries With Medical Services |
1233 |
Total Medical Submitted Charge Amount |
1032732.05 |
Total Medical Medicare Allowed Amount |
346188.47 |
Total Medical Medicare Payment Amount |
252798.25 |
Total Medical Medicare Standardized Payment Amount |
267824.25 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
246 |
Number Of Beneficiaries Age 65 to 74 |
493 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
643 |
Number Of Male Beneficiaries |
590 |
Number Of Non Hispanic White Beneficiaries |
1208 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
890 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
343 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7063 |