National Provider Identifier [NPI]: |
1316996481 |
Last Name Of The Provider |
ALEXION |
First Name Of The Provider |
RACHELLE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3110 GRACEFIELD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209041820 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
7638 |
Number Of Medicare Beneficiaries |
853 |
Total Submitted Charge Amount |
379050.94 |
Total Medicare Allowed Amount |
378615.7 |
Total Medicare Payment Amount |
295095.56 |
Total Medicare Standardized Payment Amount |
266754.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3473 |
Number Of Medicare Beneficiaries With Drug Services |
253 |
Total Drug Submitted ChargeAmount |
51580.63 |
Total Drug Medicare AllowedAmount |
51570.9 |
Total Drug Medicare PaymentAmount |
41770.51 |
Total Drug Medicare Standardized Payment Amount |
41770.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4165 |
Number Of Medicare Beneficiaries With Medical Services |
853 |
Total Medical Submitted Charge Amount |
327470.31 |
Total Medical Medicare Allowed Amount |
327044.8 |
Total Medical Medicare Payment Amount |
253325.05 |
Total Medical Medicare Standardized Payment Amount |
224984.42 |
Average Age Of Beneficiaries |
86 |
Number Of Beneficiaries Age Less65 |
0 |
Number Of Beneficiaries Age 65 to 74 |
45 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
554 |
Number Of Female Beneficiaries |
643 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
788 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
16 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
36 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4458 |