National Provider Identifier [NPI]: |
1710910807 |
Last Name Of The Provider |
ALCOX |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20 NE SAINT LUKES BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LEES SUMMIT |
Zip Code Of The Provider |
640866003 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
4640 |
Number Of Medicare Beneficiaries |
744 |
Total Submitted Charge Amount |
462745 |
Total Medicare Allowed Amount |
227744.86 |
Total Medicare Payment Amount |
157139.11 |
Total Medicare Standardized Payment Amount |
160709.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
559 |
Number Of Medicare Beneficiaries With Drug Services |
153 |
Total Drug Submitted ChargeAmount |
11809 |
Total Drug Medicare AllowedAmount |
9903.85 |
Total Drug Medicare PaymentAmount |
8574.29 |
Total Drug Medicare Standardized Payment Amount |
8574.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
4081 |
Number Of Medicare Beneficiaries With Medical Services |
744 |
Total Medical Submitted Charge Amount |
450936 |
Total Medical Medicare Allowed Amount |
217841.01 |
Total Medical Medicare Payment Amount |
148564.82 |
Total Medical Medicare Standardized Payment Amount |
152135.47 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
379 |
Number Of Male Beneficiaries |
365 |
Number Of Non Hispanic White Beneficiaries |
725 |
Number Of Black or African American Beneficiaries |
|
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 |
728 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0182 |