National Provider Identifier [NPI]: |
1730165325 |
Last Name Of The Provider |
ALBERT |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 18TH ST S |
Street Address 2 Of The Provider |
SUITE 707 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352331856 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
10379 |
Number Of Medicare Beneficiaries |
1240 |
Total Submitted Charge Amount |
1972314.2 |
Total Medicare Allowed Amount |
906358.76 |
Total Medicare Payment Amount |
676182.45 |
Total Medicare Standardized Payment Amount |
737193.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3404 |
Number Of Medicare Beneficiaries With Drug Services |
356 |
Total Drug Submitted ChargeAmount |
249886.2 |
Total Drug Medicare AllowedAmount |
217263.74 |
Total Drug Medicare PaymentAmount |
169173 |
Total Drug Medicare Standardized Payment Amount |
169173 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
6975 |
Number Of Medicare Beneficiaries With Medical Services |
1240 |
Total Medical Submitted Charge Amount |
1722428 |
Total Medical Medicare Allowed Amount |
689095.02 |
Total Medical Medicare Payment Amount |
507009.45 |
Total Medical Medicare Standardized Payment Amount |
568020.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
443 |
Number Of Beneficiaries Age 75 to 84 |
393 |
Number Of Beneficiaries Age Greater 84 |
272 |
Number Of Female Beneficiaries |
719 |
Number Of Male Beneficiaries |
521 |
Number Of Non Hispanic White Beneficiaries |
1091 |
Number Of Black or African American Beneficiaries |
129 |
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 |
1129 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5045 |