National Provider Identifier [NPI]: |
1093976896 |
Last Name Of The Provider |
MCALPINE |
First Name Of The Provider |
SARAH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2115 STUART AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALAMOSA |
Zip Code Of The Provider |
811012269 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
726 |
Number Of Medicare Beneficiaries |
227 |
Total Submitted Charge Amount |
79554.61 |
Total Medicare Allowed Amount |
42982.87 |
Total Medicare Payment Amount |
28858.51 |
Total Medicare Standardized Payment Amount |
29532.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
51 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
3159.61 |
Total Drug Medicare AllowedAmount |
1583.87 |
Total Drug Medicare PaymentAmount |
1506.72 |
Total Drug Medicare Standardized Payment Amount |
1506.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
675 |
Number Of Medicare Beneficiaries With Medical Services |
226 |
Total Medical Submitted Charge Amount |
76395 |
Total Medical Medicare Allowed Amount |
41399 |
Total Medical Medicare Payment Amount |
27351.79 |
Total Medical Medicare Standardized Payment Amount |
28025.63 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
55 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
160 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
127 |
Number Of Black or African American Beneficiaries |
|
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 |
155 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
|
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
37 |
Percent Of With Ischemic Heart Disease |
13 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9098 |