National Provider Identifier [NPI]: |
1265418024 |
Last Name Of The Provider |
ALEXANDER |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2121 N 1700 W |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAYTON |
Zip Code Of The Provider |
840418803 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
3432 |
Number Of Medicare Beneficiaries |
692 |
Total Submitted Charge Amount |
437176.61 |
Total Medicare Allowed Amount |
219604.46 |
Total Medicare Payment Amount |
167365.11 |
Total Medicare Standardized Payment Amount |
179681.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1275 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
14652.61 |
Total Drug Medicare AllowedAmount |
13894.95 |
Total Drug Medicare PaymentAmount |
11103.58 |
Total Drug Medicare Standardized Payment Amount |
11103.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
2157 |
Number Of Medicare Beneficiaries With Medical Services |
692 |
Total Medical Submitted Charge Amount |
422524 |
Total Medical Medicare Allowed Amount |
205709.51 |
Total Medical Medicare Payment Amount |
156261.53 |
Total Medical Medicare Standardized Payment Amount |
168577.43 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
330 |
Number Of Beneficiaries Age 75 to 84 |
224 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
340 |
Number Of Non Hispanic White Beneficiaries |
641 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
664 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2513 |