National Provider Identifier [NPI]: |
1962513705 |
Last Name Of The Provider |
ALLISON |
First Name Of The Provider |
JEFFERY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
930 FRANKLIN ST SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358014312 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
5112 |
Number Of Medicare Beneficiaries |
1364 |
Total Submitted Charge Amount |
1297070 |
Total Medicare Allowed Amount |
480612.95 |
Total Medicare Payment Amount |
357536.53 |
Total Medicare Standardized Payment Amount |
392102.35 |
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 |
85 |
Number Of Medical Services |
5112 |
Number Of Medicare Beneficiaries With Medical Services |
1364 |
Total Medical Submitted Charge Amount |
1297070 |
Total Medical Medicare Allowed Amount |
480612.95 |
Total Medical Medicare Payment Amount |
357536.53 |
Total Medical Medicare Standardized Payment Amount |
392102.35 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
493 |
Number Of Beneficiaries Age 75 to 84 |
550 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
588 |
Number Of Male Beneficiaries |
776 |
Number Of Non Hispanic White Beneficiaries |
1243 |
Number Of Black or African American Beneficiaries |
100 |
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 |
1141 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
223 |
Percent Of With Atrial Fibrillation |
50 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7554 |