National Provider Identifier [NPI]: |
1932160348 |
Last Name Of The Provider |
ALVI |
First Name Of The Provider |
PERVEZ |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6500 HOSPITAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HANNIBAL |
Zip Code Of The Provider |
634016890 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3393 |
Number Of Medicare Beneficiaries |
1112 |
Total Submitted Charge Amount |
467493 |
Total Medicare Allowed Amount |
190314.35 |
Total Medicare Payment Amount |
137785.6 |
Total Medicare Standardized Payment Amount |
147915.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
250 |
Total Drug Medicare AllowedAmount |
186.54 |
Total Drug Medicare PaymentAmount |
182.82 |
Total Drug Medicare Standardized Payment Amount |
182.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3378 |
Number Of Medicare Beneficiaries With Medical Services |
1112 |
Total Medical Submitted Charge Amount |
467243 |
Total Medical Medicare Allowed Amount |
190127.81 |
Total Medical Medicare Payment Amount |
137602.78 |
Total Medical Medicare Standardized Payment Amount |
147732.86 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
250 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
598 |
Number Of Male Beneficiaries |
514 |
Number Of Non Hispanic White Beneficiaries |
1068 |
Number Of Black or African American Beneficiaries |
27 |
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 |
723 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
389 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5952 |