National Provider Identifier [NPI]: |
1508949827 |
Last Name Of The Provider |
ALEXANDER |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
357 TANGER BLVD |
Street Address 2 Of The Provider |
SUITE 201B |
City Of The Provider |
SEYMOUR |
Zip Code Of The Provider |
472744401 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
12654 |
Number Of Medicare Beneficiaries |
610 |
Total Submitted Charge Amount |
2229176.25 |
Total Medicare Allowed Amount |
650877.9 |
Total Medicare Payment Amount |
479144.21 |
Total Medicare Standardized Payment Amount |
495237.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1848 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
61066.46 |
Total Drug Medicare AllowedAmount |
2338.72 |
Total Drug Medicare PaymentAmount |
1494.47 |
Total Drug Medicare Standardized Payment Amount |
1494.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
10806 |
Number Of Medicare Beneficiaries With Medical Services |
610 |
Total Medical Submitted Charge Amount |
2168109.79 |
Total Medical Medicare Allowed Amount |
648539.18 |
Total Medical Medicare Payment Amount |
477649.74 |
Total Medical Medicare Standardized Payment Amount |
493743.14 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
463 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
358 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
573 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
313 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.2712 |