National Provider Identifier [NPI]: |
1073510483 |
Last Name Of The Provider |
ALFTINE |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3225 HILLCREST PARK DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
97504 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
237 |
Number Of Services |
22653 |
Number Of Medicare Beneficiaries |
2193 |
Total Submitted Charge Amount |
905837 |
Total Medicare Allowed Amount |
365520.28 |
Total Medicare Payment Amount |
289313.14 |
Total Medicare Standardized Payment Amount |
302144.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
10432 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
44509 |
Total Drug Medicare AllowedAmount |
26081.91 |
Total Drug Medicare PaymentAmount |
24208.59 |
Total Drug Medicare Standardized Payment Amount |
24208.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
221 |
Number Of Medical Services |
12221 |
Number Of Medicare Beneficiaries With Medical Services |
2193 |
Total Medical Submitted Charge Amount |
861328 |
Total Medical Medicare Allowed Amount |
339438.37 |
Total Medical Medicare Payment Amount |
265104.55 |
Total Medical Medicare Standardized Payment Amount |
277935.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
975 |
Number Of Beneficiaries Age 75 to 84 |
705 |
Number Of Beneficiaries Age Greater 84 |
277 |
Number Of Female Beneficiaries |
1172 |
Number Of Male Beneficiaries |
1021 |
Number Of Non Hispanic White Beneficiaries |
2092 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1933 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
260 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3895 |