National Provider Identifier [NPI]: |
1578566683 |
Last Name Of The Provider |
LAW |
First Name Of The Provider |
ALEC |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3201 S LOOP 256 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALESTINE |
Zip Code Of The Provider |
758016901 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
268 |
Number Of Services |
7100 |
Number Of Medicare Beneficiaries |
1130 |
Total Submitted Charge Amount |
871311.57 |
Total Medicare Allowed Amount |
331511.24 |
Total Medicare Payment Amount |
253166.36 |
Total Medicare Standardized Payment Amount |
272383 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
763 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
8054.42 |
Total Drug Medicare AllowedAmount |
4343.06 |
Total Drug Medicare PaymentAmount |
3714.59 |
Total Drug Medicare Standardized Payment Amount |
3714.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
251 |
Number Of Medical Services |
6337 |
Number Of Medicare Beneficiaries With Medical Services |
1130 |
Total Medical Submitted Charge Amount |
863257.15 |
Total Medical Medicare Allowed Amount |
327168.18 |
Total Medical Medicare Payment Amount |
249451.77 |
Total Medical Medicare Standardized Payment Amount |
268668.41 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
486 |
Number Of Beneficiaries Age 75 to 84 |
338 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
673 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
997 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
944 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2535 |