National Provider Identifier [NPI]: |
1720126691 |
Last Name Of The Provider |
ALFORD |
First Name Of The Provider |
JULIE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1235 E CHEROKEE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
658042203 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
171 |
Number Of Services |
4171 |
Number Of Medicare Beneficiaries |
2784 |
Total Submitted Charge Amount |
1000992 |
Total Medicare Allowed Amount |
176263.89 |
Total Medicare Payment Amount |
134681.54 |
Total Medicare Standardized Payment Amount |
141041.35 |
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 |
171 |
Number Of Medical Services |
4171 |
Number Of Medicare Beneficiaries With Medical Services |
2784 |
Total Medical Submitted Charge Amount |
1000992 |
Total Medical Medicare Allowed Amount |
176263.89 |
Total Medical Medicare Payment Amount |
134681.54 |
Total Medical Medicare Standardized Payment Amount |
141041.35 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
644 |
Number Of Beneficiaries Age 65 to 74 |
1001 |
Number Of Beneficiaries Age 75 to 84 |
794 |
Number Of Beneficiaries Age Greater 84 |
345 |
Number Of Female Beneficiaries |
1474 |
Number Of Male Beneficiaries |
1310 |
Number Of Non Hispanic White Beneficiaries |
2682 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2068 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
716 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7545 |