National Provider Identifier [NPI]: |
1184663494 |
Last Name Of The Provider |
ALARCON |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3024 BUSINESS PARK CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOODLETTSVILLE |
Zip Code Of The Provider |
370723132 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
10814 |
Number Of Medicare Beneficiaries |
2364 |
Total Submitted Charge Amount |
2418882.44 |
Total Medicare Allowed Amount |
468402.62 |
Total Medicare Payment Amount |
348674.5 |
Total Medicare Standardized Payment Amount |
400984.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
6502 |
Number Of Medicare Beneficiaries With Drug Services |
283 |
Total Drug Submitted ChargeAmount |
34752.75 |
Total Drug Medicare AllowedAmount |
10166.55 |
Total Drug Medicare PaymentAmount |
7651.94 |
Total Drug Medicare Standardized Payment Amount |
7651.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
4312 |
Number Of Medicare Beneficiaries With Medical Services |
2364 |
Total Medical Submitted Charge Amount |
2384129.69 |
Total Medical Medicare Allowed Amount |
458236.07 |
Total Medical Medicare Payment Amount |
341022.56 |
Total Medical Medicare Standardized Payment Amount |
393332.32 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
503 |
Number Of Beneficiaries Age 65 to 74 |
986 |
Number Of Beneficiaries Age 75 to 84 |
656 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
1415 |
Number Of Male Beneficiaries |
949 |
Number Of Non Hispanic White Beneficiaries |
2159 |
Number Of Black or African American Beneficiaries |
171 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1964 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
400 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4593 |