National Provider Identifier [NPI]: |
1083784664 |
Last Name Of The Provider |
TROTTER |
First Name Of The Provider |
ALICIA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3301 NEW MEXICO AVE NW |
Street Address 2 Of The Provider |
#302 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200163622 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
2853 |
Number Of Medicare Beneficiaries |
159 |
Total Submitted Charge Amount |
94889.22 |
Total Medicare Allowed Amount |
94780.61 |
Total Medicare Payment Amount |
69774.22 |
Total Medicare Standardized Payment Amount |
63397.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
611 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
15164 |
Total Drug Medicare AllowedAmount |
15164 |
Total Drug Medicare PaymentAmount |
11920.72 |
Total Drug Medicare Standardized Payment Amount |
11920.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
2242 |
Number Of Medicare Beneficiaries With Medical Services |
159 |
Total Medical Submitted Charge Amount |
79725.22 |
Total Medical Medicare Allowed Amount |
79616.61 |
Total Medical Medicare Payment Amount |
57853.5 |
Total Medical Medicare Standardized Payment Amount |
51476.77 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
89 |
Number Of Beneficiaries Age 75 to 84 |
55 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
114 |
Number Of Male Beneficiaries |
45 |
Number Of Non Hispanic White Beneficiaries |
131 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
51 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7471 |