National Provider Identifier [NPI]: |
1427272970 |
Last Name Of The Provider |
BARNES |
First Name Of The Provider |
CHADWICK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4015 LAKE OTIS PKWY |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
ANCHORAGE |
Zip Code Of The Provider |
995085211 |
State Code Of The Provider |
AK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2828 |
Number Of Medicare Beneficiaries |
546 |
Total Submitted Charge Amount |
1369162.12 |
Total Medicare Allowed Amount |
335239.71 |
Total Medicare Payment Amount |
256135.37 |
Total Medicare Standardized Payment Amount |
197319.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
854 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
7832 |
Total Drug Medicare AllowedAmount |
1718.48 |
Total Drug Medicare PaymentAmount |
1359 |
Total Drug Medicare Standardized Payment Amount |
1359 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1974 |
Number Of Medicare Beneficiaries With Medical Services |
546 |
Total Medical Submitted Charge Amount |
1361330.12 |
Total Medical Medicare Allowed Amount |
333521.23 |
Total Medical Medicare Payment Amount |
254776.37 |
Total Medical Medicare Standardized Payment Amount |
195960.89 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
335 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
83 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
215 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
3.7563 |