National Provider Identifier [NPI]: |
1528066313 |
Last Name Of The Provider |
THOMAS |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
880 MONTCLAIR RD |
Street Address 2 Of The Provider |
SUITE 270 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352131972 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3111 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
332417 |
Total Medicare Allowed Amount |
262027.42 |
Total Medicare Payment Amount |
193991.62 |
Total Medicare Standardized Payment Amount |
215632.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
174 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
1717 |
Total Drug Medicare AllowedAmount |
770.88 |
Total Drug Medicare PaymentAmount |
698.6 |
Total Drug Medicare Standardized Payment Amount |
698.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2937 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
330700 |
Total Medical Medicare Allowed Amount |
261256.54 |
Total Medical Medicare Payment Amount |
193293.02 |
Total Medical Medicare Standardized Payment Amount |
214934.05 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
285 |
Number Of Male Beneficiaries |
278 |
Number Of Non Hispanic White Beneficiaries |
460 |
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 |
456 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
50 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9867 |