National Provider Identifier [NPI]: |
1144390139 |
Last Name Of The Provider |
ALEXANDER |
First Name Of The Provider |
KERRY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
42 LAMBERT STREET SUITE 511 |
Street Address 2 Of The Provider |
|
City Of The Provider |
STAUNTON |
Zip Code Of The Provider |
24401 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
9533 |
Number Of Medicare Beneficiaries |
1640 |
Total Submitted Charge Amount |
368126.32 |
Total Medicare Allowed Amount |
246527.18 |
Total Medicare Payment Amount |
182205.16 |
Total Medicare Standardized Payment Amount |
185174.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1138 |
Number Of Medicare Beneficiaries With Drug Services |
268 |
Total Drug Submitted ChargeAmount |
9649 |
Total Drug Medicare AllowedAmount |
8154.22 |
Total Drug Medicare PaymentAmount |
7739.5 |
Total Drug Medicare Standardized Payment Amount |
7739.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
8395 |
Number Of Medicare Beneficiaries With Medical Services |
1640 |
Total Medical Submitted Charge Amount |
358477.32 |
Total Medical Medicare Allowed Amount |
238372.96 |
Total Medical Medicare Payment Amount |
174465.66 |
Total Medical Medicare Standardized Payment Amount |
177435.43 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
221 |
Number Of Beneficiaries Age 65 to 74 |
565 |
Number Of Beneficiaries Age 75 to 84 |
531 |
Number Of Beneficiaries Age Greater 84 |
323 |
Number Of Female Beneficiaries |
947 |
Number Of Male Beneficiaries |
693 |
Number Of Non Hispanic White Beneficiaries |
1518 |
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 |
1299 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
341 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5822 |