National Provider Identifier [NPI]: |
1750301677 |
Last Name Of The Provider |
ALTER |
First Name Of The Provider |
STUART |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 SPRINGHILL AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366043204 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
836 |
Number Of Medicare Beneficiaries |
312 |
Total Submitted Charge Amount |
67808 |
Total Medicare Allowed Amount |
48635.51 |
Total Medicare Payment Amount |
31175.71 |
Total Medicare Standardized Payment Amount |
35649.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
530 |
Total Drug Medicare AllowedAmount |
85.91 |
Total Drug Medicare PaymentAmount |
65.26 |
Total Drug Medicare Standardized Payment Amount |
65.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
798 |
Number Of Medicare Beneficiaries With Medical Services |
312 |
Total Medical Submitted Charge Amount |
67278 |
Total Medical Medicare Allowed Amount |
48549.6 |
Total Medical Medicare Payment Amount |
31110.45 |
Total Medical Medicare Standardized Payment Amount |
35584.41 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
136 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
256 |
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 |
182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2818 |