National Provider Identifier [NPI]: |
1114094851 |
Last Name Of The Provider |
ALEXANDER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
901 S COMMERCIAL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HARRISBURG |
Zip Code Of The Provider |
629462640 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
11854 |
Number Of Medicare Beneficiaries |
1041 |
Total Submitted Charge Amount |
875673 |
Total Medicare Allowed Amount |
407960.81 |
Total Medicare Payment Amount |
284498.53 |
Total Medicare Standardized Payment Amount |
300304.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
3201 |
Number Of Medicare Beneficiaries With Drug Services |
549 |
Total Drug Submitted ChargeAmount |
67791 |
Total Drug Medicare AllowedAmount |
16963.63 |
Total Drug Medicare PaymentAmount |
15001.56 |
Total Drug Medicare Standardized Payment Amount |
15001.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
8653 |
Number Of Medicare Beneficiaries With Medical Services |
1041 |
Total Medical Submitted Charge Amount |
807882 |
Total Medical Medicare Allowed Amount |
390997.18 |
Total Medical Medicare Payment Amount |
269496.97 |
Total Medical Medicare Standardized Payment Amount |
285302.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
485 |
Number Of Beneficiaries Age 75 to 84 |
326 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
578 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
1019 |
Number Of Black or African American Beneficiaries |
11 |
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 |
924 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0561 |