National Provider Identifier [NPI]: |
1609863943 |
Last Name Of The Provider |
ALEXANDER |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 S UNIVERSITY AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722055302 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
204 |
Number Of Services |
17121 |
Number Of Medicare Beneficiaries |
5782 |
Total Submitted Charge Amount |
1180326 |
Total Medicare Allowed Amount |
356581.45 |
Total Medicare Payment Amount |
271559.16 |
Total Medicare Standardized Payment Amount |
303872.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
8784 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
6270 |
Total Drug Medicare AllowedAmount |
2826.49 |
Total Drug Medicare PaymentAmount |
2193.06 |
Total Drug Medicare Standardized Payment Amount |
2193.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
201 |
Number Of Medical Services |
8337 |
Number Of Medicare Beneficiaries With Medical Services |
5782 |
Total Medical Submitted Charge Amount |
1174056 |
Total Medical Medicare Allowed Amount |
353754.96 |
Total Medical Medicare Payment Amount |
269366.1 |
Total Medical Medicare Standardized Payment Amount |
301679.71 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1241 |
Number Of Beneficiaries Age 65 to 74 |
2072 |
Number Of Beneficiaries Age 75 to 84 |
1648 |
Number Of Beneficiaries Age Greater 84 |
821 |
Number Of Female Beneficiaries |
3526 |
Number Of Male Beneficiaries |
2256 |
Number Of Non Hispanic White Beneficiaries |
4841 |
Number Of Black or African American Beneficiaries |
827 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
4247 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1535 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.4672 |