National Provider Identifier [NPI]: |
1649352261 |
Last Name Of The Provider |
ALEXANDER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
155 HOSPITAL DR |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
70503 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3636 |
Number Of Medicare Beneficiaries |
721 |
Total Submitted Charge Amount |
442373 |
Total Medicare Allowed Amount |
239031.51 |
Total Medicare Payment Amount |
174791.24 |
Total Medicare Standardized Payment Amount |
188829.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
218 |
Number Of Medicare Beneficiaries With Drug Services |
180 |
Total Drug Submitted ChargeAmount |
8458 |
Total Drug Medicare AllowedAmount |
5902.26 |
Total Drug Medicare PaymentAmount |
5768.97 |
Total Drug Medicare Standardized Payment Amount |
5768.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3418 |
Number Of Medicare Beneficiaries With Medical Services |
721 |
Total Medical Submitted Charge Amount |
433915 |
Total Medical Medicare Allowed Amount |
233129.25 |
Total Medical Medicare Payment Amount |
169022.27 |
Total Medical Medicare Standardized Payment Amount |
183060.3 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
286 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
421 |
Number Of Male Beneficiaries |
300 |
Number Of Non Hispanic White Beneficiaries |
660 |
Number Of Black or African American Beneficiaries |
41 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
667 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1578 |