National Provider Identifier [NPI]: |
1275561714 |
Last Name Of The Provider |
ALEXANDER |
First Name Of The Provider |
MARC |
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 |
6350 GLENWAY AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452116378 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
7347 |
Number Of Medicare Beneficiaries |
735 |
Total Submitted Charge Amount |
456624 |
Total Medicare Allowed Amount |
259988.91 |
Total Medicare Payment Amount |
202346.04 |
Total Medicare Standardized Payment Amount |
209867.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
242 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
22981 |
Total Drug Medicare AllowedAmount |
20463.07 |
Total Drug Medicare PaymentAmount |
19629.33 |
Total Drug Medicare Standardized Payment Amount |
19629.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
7105 |
Number Of Medicare Beneficiaries With Medical Services |
735 |
Total Medical Submitted Charge Amount |
433643 |
Total Medical Medicare Allowed Amount |
239525.84 |
Total Medical Medicare Payment Amount |
182716.71 |
Total Medical Medicare Standardized Payment Amount |
190238.08 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
387 |
Number Of Male Beneficiaries |
348 |
Number Of Non Hispanic White Beneficiaries |
699 |
Number Of Black or African American Beneficiaries |
19 |
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 |
666 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1884 |