National Provider Identifier [NPI]: |
1427161066 |
Last Name Of The Provider |
WILLIAMS |
First Name Of The Provider |
ALEXANDRA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3467 W HILLSBORO BLVD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
DEERFIELD BEACH |
Zip Code Of The Provider |
334429473 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
1718 |
Number Of Medicare Beneficiaries |
466 |
Total Submitted Charge Amount |
249733.13 |
Total Medicare Allowed Amount |
124597.95 |
Total Medicare Payment Amount |
96944.92 |
Total Medicare Standardized Payment Amount |
94496.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
75 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
1789 |
Total Drug Medicare AllowedAmount |
951.65 |
Total Drug Medicare PaymentAmount |
923.22 |
Total Drug Medicare Standardized Payment Amount |
923.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1643 |
Number Of Medicare Beneficiaries With Medical Services |
466 |
Total Medical Submitted Charge Amount |
247944.13 |
Total Medical Medicare Allowed Amount |
123646.3 |
Total Medical Medicare Payment Amount |
96021.7 |
Total Medical Medicare Standardized Payment Amount |
93573.22 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
431 |
Number Of Black or African American Beneficiaries |
15 |
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 |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0636 |