National Provider Identifier [NPI]: |
1922124270 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
ALEXANDRA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7 DAZIAN BUILDING, 1ST@16TH ST |
Street Address 2 Of The Provider |
PULMONARY/CRITICAL CARE, MOUNT SINAI BETH ISRAEL MEDICA |
City Of The Provider |
NEW YORK |
Zip Code Of The Provider |
10003 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
883 |
Number Of Medicare Beneficiaries |
305 |
Total Submitted Charge Amount |
205283.29 |
Total Medicare Allowed Amount |
155489.07 |
Total Medicare Payment Amount |
121806.98 |
Total Medicare Standardized Payment Amount |
114234.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
883 |
Number Of Medicare Beneficiaries With Medical Services |
305 |
Total Medical Submitted Charge Amount |
205283.29 |
Total Medical Medicare Allowed Amount |
155489.07 |
Total Medical Medicare Payment Amount |
121806.98 |
Total Medical Medicare Standardized Payment Amount |
114234.78 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
165 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
222 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
69 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
3.0765 |