National Provider Identifier [NPI]: |
1720072408 |
Last Name Of The Provider |
AITKEN |
First Name Of The Provider |
ALEXANDER |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3226 S ALAMEDA ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORPUS CHRISTI |
Zip Code Of The Provider |
784042508 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
275 |
Number Of Services |
8275 |
Number Of Medicare Beneficiaries |
2152 |
Total Submitted Charge Amount |
628411.5 |
Total Medicare Allowed Amount |
253023.37 |
Total Medicare Payment Amount |
193503.86 |
Total Medicare Standardized Payment Amount |
203986.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4646 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
3138.5 |
Total Drug Medicare AllowedAmount |
1356.81 |
Total Drug Medicare PaymentAmount |
1055.07 |
Total Drug Medicare Standardized Payment Amount |
1055.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
272 |
Number Of Medical Services |
3629 |
Number Of Medicare Beneficiaries With Medical Services |
2150 |
Total Medical Submitted Charge Amount |
625273 |
Total Medical Medicare Allowed Amount |
251666.56 |
Total Medical Medicare Payment Amount |
192448.79 |
Total Medical Medicare Standardized Payment Amount |
202931.09 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
519 |
Number Of Beneficiaries Age 65 to 74 |
733 |
Number Of Beneficiaries Age 75 to 84 |
550 |
Number Of Beneficiaries Age Greater 84 |
350 |
Number Of Female Beneficiaries |
1146 |
Number Of Male Beneficiaries |
1006 |
Number Of Non Hispanic White Beneficiaries |
966 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
1076 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1256 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
896 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.6387 |