National Provider Identifier [NPI]: |
1801904636 |
Last Name Of The Provider |
ALLDREDGE |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 RICE MINE RD N |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354062300 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
20749 |
Number Of Medicare Beneficiaries |
2245 |
Total Submitted Charge Amount |
1547162.97 |
Total Medicare Allowed Amount |
1205564.5 |
Total Medicare Payment Amount |
897950.34 |
Total Medicare Standardized Payment Amount |
978820 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
3515 |
Number Of Medicare Beneficiaries With Drug Services |
510 |
Total Drug Submitted ChargeAmount |
63940.5 |
Total Drug Medicare AllowedAmount |
14808.78 |
Total Drug Medicare PaymentAmount |
12509.04 |
Total Drug Medicare Standardized Payment Amount |
12509.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
17234 |
Number Of Medicare Beneficiaries With Medical Services |
2245 |
Total Medical Submitted Charge Amount |
1483222.47 |
Total Medical Medicare Allowed Amount |
1190755.72 |
Total Medical Medicare Payment Amount |
885441.3 |
Total Medical Medicare Standardized Payment Amount |
966310.96 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
433 |
Number Of Beneficiaries Age 65 to 74 |
749 |
Number Of Beneficiaries Age 75 to 84 |
667 |
Number Of Beneficiaries Age Greater 84 |
396 |
Number Of Female Beneficiaries |
1338 |
Number Of Male Beneficiaries |
907 |
Number Of Non Hispanic White Beneficiaries |
1648 |
Number Of Black or African American Beneficiaries |
570 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1550 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
695 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6744 |