National Provider Identifier [NPI]: |
1104859909 |
Last Name Of The Provider |
ALEXAN-SHIRABAD |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 34TH ST |
Street Address 2 Of The Provider |
#203 |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933012283 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
11667 |
Number Of Medicare Beneficiaries |
1099 |
Total Submitted Charge Amount |
1183123 |
Total Medicare Allowed Amount |
585051.17 |
Total Medicare Payment Amount |
437430.37 |
Total Medicare Standardized Payment Amount |
420404.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
7720 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
90000 |
Total Drug Medicare AllowedAmount |
44908.29 |
Total Drug Medicare PaymentAmount |
34855.54 |
Total Drug Medicare Standardized Payment Amount |
34855.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
3947 |
Number Of Medicare Beneficiaries With Medical Services |
1099 |
Total Medical Submitted Charge Amount |
1093123 |
Total Medical Medicare Allowed Amount |
540142.88 |
Total Medical Medicare Payment Amount |
402574.83 |
Total Medical Medicare Standardized Payment Amount |
385549.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
226 |
Number Of Beneficiaries Age 65 to 74 |
383 |
Number Of Beneficiaries Age 75 to 84 |
377 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
618 |
Number Of Male Beneficiaries |
481 |
Number Of Non Hispanic White Beneficiaries |
793 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
201 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
686 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
413 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.8203 |