National Provider Identifier [NPI]: |
1952387300 |
Last Name Of The Provider |
ALENCHERRY |
First Name Of The Provider |
JOHNY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12821 OAK HILL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAGERSTOWN |
Zip Code Of The Provider |
217422940 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
5959 |
Number Of Medicare Beneficiaries |
1223 |
Total Submitted Charge Amount |
761235 |
Total Medicare Allowed Amount |
487472 |
Total Medicare Payment Amount |
371597.87 |
Total Medicare Standardized Payment Amount |
369109.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
277 |
Number Of Medicare Beneficiaries With Drug Services |
230 |
Total Drug Submitted ChargeAmount |
18895 |
Total Drug Medicare AllowedAmount |
14977.03 |
Total Drug Medicare PaymentAmount |
14225.42 |
Total Drug Medicare Standardized Payment Amount |
14225.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5682 |
Number Of Medicare Beneficiaries With Medical Services |
1223 |
Total Medical Submitted Charge Amount |
742340 |
Total Medical Medicare Allowed Amount |
472494.97 |
Total Medical Medicare Payment Amount |
357372.45 |
Total Medical Medicare Standardized Payment Amount |
354884.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
239 |
Number Of Beneficiaries Age 65 to 74 |
496 |
Number Of Beneficiaries Age 75 to 84 |
333 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
673 |
Number Of Male Beneficiaries |
550 |
Number Of Non Hispanic White Beneficiaries |
1167 |
Number Of Black or African American Beneficiaries |
32 |
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 |
955 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
34 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
59 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8048 |