National Provider Identifier [NPI]: |
1134184278 |
Last Name Of The Provider |
ALARCON |
First Name Of The Provider |
FABRICIO |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
317 N DUPONT HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
GEORGETOWN |
Zip Code Of The Provider |
199472109 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
2325 |
Number Of Medicare Beneficiaries |
512 |
Total Submitted Charge Amount |
360877.75 |
Total Medicare Allowed Amount |
190395.76 |
Total Medicare Payment Amount |
138985.56 |
Total Medicare Standardized Payment Amount |
136950.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
154 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
3587 |
Total Drug Medicare AllowedAmount |
1612.73 |
Total Drug Medicare PaymentAmount |
1538.78 |
Total Drug Medicare Standardized Payment Amount |
1538.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2171 |
Number Of Medicare Beneficiaries With Medical Services |
512 |
Total Medical Submitted Charge Amount |
357290.75 |
Total Medical Medicare Allowed Amount |
188783.03 |
Total Medical Medicare Payment Amount |
137446.78 |
Total Medical Medicare Standardized Payment Amount |
135411.62 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
97 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
212 |
Number Of Non Hispanic White Beneficiaries |
409 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4391 |