National Provider Identifier [NPI]: |
1588646236 |
Last Name Of The Provider |
ALVAREZ |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1515 S CLIFTON AVE STE 320 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672182953 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
7020.9 |
Number Of Medicare Beneficiaries |
1717 |
Total Submitted Charge Amount |
1060814.17 |
Total Medicare Allowed Amount |
358491.79 |
Total Medicare Payment Amount |
262505.44 |
Total Medicare Standardized Payment Amount |
285263.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2548.9 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
35966.6 |
Total Drug Medicare AllowedAmount |
14327.32 |
Total Drug Medicare PaymentAmount |
11060.54 |
Total Drug Medicare Standardized Payment Amount |
11060.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
4472 |
Number Of Medicare Beneficiaries With Medical Services |
1717 |
Total Medical Submitted Charge Amount |
1024847.57 |
Total Medical Medicare Allowed Amount |
344164.47 |
Total Medical Medicare Payment Amount |
251444.9 |
Total Medical Medicare Standardized Payment Amount |
274202.94 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
248 |
Number Of Beneficiaries Age 65 to 74 |
583 |
Number Of Beneficiaries Age 75 to 84 |
606 |
Number Of Beneficiaries Age Greater 84 |
280 |
Number Of Female Beneficiaries |
903 |
Number Of Male Beneficiaries |
814 |
Number Of Non Hispanic White Beneficiaries |
1530 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1388 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
329 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5907 |