National Provider Identifier [NPI]: |
1073590014 |
Last Name Of The Provider |
ALEXANDER |
First Name Of The Provider |
ERIK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10301 N 92ND ST |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852584511 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
5308 |
Number Of Medicare Beneficiaries |
1135 |
Total Submitted Charge Amount |
1113384.6 |
Total Medicare Allowed Amount |
516977.73 |
Total Medicare Payment Amount |
387610.94 |
Total Medicare Standardized Payment Amount |
392658.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
707 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
82336 |
Total Drug Medicare AllowedAmount |
50956.42 |
Total Drug Medicare PaymentAmount |
39834.42 |
Total Drug Medicare Standardized Payment Amount |
39834.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
4601 |
Number Of Medicare Beneficiaries With Medical Services |
1135 |
Total Medical Submitted Charge Amount |
1031048.6 |
Total Medical Medicare Allowed Amount |
466021.31 |
Total Medical Medicare Payment Amount |
347776.52 |
Total Medical Medicare Standardized Payment Amount |
352823.79 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
625 |
Number Of Beneficiaries Age 75 to 84 |
375 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
938 |
Number Of Non Hispanic White Beneficiaries |
1081 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1124 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9897 |