National Provider Identifier [NPI]: |
1588645634 |
Last Name Of The Provider |
ALEXANDER |
First Name Of The Provider |
JAMILE |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7026 OLD KATY RD STE 276 |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242187 |
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 |
150 |
Number Of Services |
3561 |
Number Of Medicare Beneficiaries |
1406 |
Total Submitted Charge Amount |
311282.73 |
Total Medicare Allowed Amount |
108539.36 |
Total Medicare Payment Amount |
80821.81 |
Total Medicare Standardized Payment Amount |
82241.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1540 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
1585.75 |
Total Drug Medicare AllowedAmount |
983.58 |
Total Drug Medicare PaymentAmount |
756.08 |
Total Drug Medicare Standardized Payment Amount |
756.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
145 |
Number Of Medical Services |
2021 |
Number Of Medicare Beneficiaries With Medical Services |
1406 |
Total Medical Submitted Charge Amount |
309696.98 |
Total Medical Medicare Allowed Amount |
107555.78 |
Total Medical Medicare Payment Amount |
80065.73 |
Total Medical Medicare Standardized Payment Amount |
81485.24 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
282 |
Number Of Beneficiaries Age 65 to 74 |
486 |
Number Of Beneficiaries Age 75 to 84 |
389 |
Number Of Beneficiaries Age Greater 84 |
249 |
Number Of Female Beneficiaries |
846 |
Number Of Male Beneficiaries |
560 |
Number Of Non Hispanic White Beneficiaries |
752 |
Number Of Black or African American Beneficiaries |
323 |
Number Of AsianPacific Islander Beneficiaries |
104 |
Number Of Hispanic Beneficiaries |
213 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
896 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
510 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.2501 |