National Provider Identifier [NPI]: |
1225081177 |
Last Name Of The Provider |
ALBARES |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
480 HONEYSUCKLE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOTHAN |
Zip Code Of The Provider |
363051156 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
24598 |
Number Of Medicare Beneficiaries |
2199 |
Total Submitted Charge Amount |
1583614.5 |
Total Medicare Allowed Amount |
740103.66 |
Total Medicare Payment Amount |
523141.15 |
Total Medicare Standardized Payment Amount |
569320.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
19839 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
174549 |
Total Drug Medicare AllowedAmount |
152438.91 |
Total Drug Medicare PaymentAmount |
85262.21 |
Total Drug Medicare Standardized Payment Amount |
85262.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
4759 |
Number Of Medicare Beneficiaries With Medical Services |
2199 |
Total Medical Submitted Charge Amount |
1409065.5 |
Total Medical Medicare Allowed Amount |
587664.75 |
Total Medical Medicare Payment Amount |
437878.94 |
Total Medical Medicare Standardized Payment Amount |
484058.08 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
455 |
Number Of Beneficiaries Age 65 to 74 |
946 |
Number Of Beneficiaries Age 75 to 84 |
617 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
1363 |
Number Of Male Beneficiaries |
836 |
Number Of Non Hispanic White Beneficiaries |
1707 |
Number Of Black or African American Beneficiaries |
446 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1589 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
610 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4142 |