National Provider Identifier [NPI]: |
1568523579 |
Last Name Of The Provider |
ALREFAI |
First Name Of The Provider |
BASEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3368 HIGHWAY 280 |
Street Address 2 Of The Provider |
SUITE 107 |
City Of The Provider |
ALEXANDER CITY |
Zip Code Of The Provider |
350103393 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
12934 |
Number Of Medicare Beneficiaries |
1777 |
Total Submitted Charge Amount |
1860342 |
Total Medicare Allowed Amount |
868736.12 |
Total Medicare Payment Amount |
635135.79 |
Total Medicare Standardized Payment Amount |
727360.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1057 |
Number Of Medicare Beneficiaries With Drug Services |
370 |
Total Drug Submitted ChargeAmount |
34576 |
Total Drug Medicare AllowedAmount |
4634.14 |
Total Drug Medicare PaymentAmount |
4012.79 |
Total Drug Medicare Standardized Payment Amount |
4012.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
11877 |
Number Of Medicare Beneficiaries With Medical Services |
1775 |
Total Medical Submitted Charge Amount |
1825766 |
Total Medical Medicare Allowed Amount |
864101.98 |
Total Medical Medicare Payment Amount |
631123 |
Total Medical Medicare Standardized Payment Amount |
723347.87 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
529 |
Number Of Beneficiaries Age 65 to 74 |
574 |
Number Of Beneficiaries Age 75 to 84 |
461 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
1076 |
Number Of Male Beneficiaries |
701 |
Number Of Non Hispanic White Beneficiaries |
1117 |
Number Of Black or African American Beneficiaries |
645 |
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 |
1143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
634 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5561 |