National Provider Identifier [NPI]: |
1023108461 |
Last Name Of The Provider |
MORRISON |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5410 CONNECTICUT AVE NW |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200152859 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1853 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
178824 |
Total Medicare Allowed Amount |
142432.88 |
Total Medicare Payment Amount |
107619.94 |
Total Medicare Standardized Payment Amount |
96139.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
176 |
Number Of Medicare Beneficiaries With Drug Services |
135 |
Total Drug Submitted ChargeAmount |
12557 |
Total Drug Medicare AllowedAmount |
8662.21 |
Total Drug Medicare PaymentAmount |
8463.73 |
Total Drug Medicare Standardized Payment Amount |
8463.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1677 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
166267 |
Total Medical Medicare Allowed Amount |
133770.67 |
Total Medical Medicare Payment Amount |
99156.21 |
Total Medical Medicare Standardized Payment Amount |
87676.06 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
211 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
281 |
Number Of Black or African American Beneficiaries |
60 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8564 |