National Provider Identifier [NPI]: |
1013097831 |
Last Name Of The Provider |
FOXMAN |
First Name Of The Provider |
ALEX |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9400 BRIGHTON WAY |
Street Address 2 Of The Provider |
STE 410 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902104703 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
6740 |
Number Of Medicare Beneficiaries |
476 |
Total Submitted Charge Amount |
603908 |
Total Medicare Allowed Amount |
274927.82 |
Total Medicare Payment Amount |
225756.69 |
Total Medicare Standardized Payment Amount |
212429.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
4720 |
Total Drug Medicare AllowedAmount |
2229.72 |
Total Drug Medicare PaymentAmount |
2173.25 |
Total Drug Medicare Standardized Payment Amount |
2173.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
6640 |
Number Of Medicare Beneficiaries With Medical Services |
476 |
Total Medical Submitted Charge Amount |
599188 |
Total Medical Medicare Allowed Amount |
272698.1 |
Total Medical Medicare Payment Amount |
223583.44 |
Total Medical Medicare Standardized Payment Amount |
210256.29 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
276 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
350 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
287 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8281 |