National Provider Identifier [NPI]: |
1609031509 |
Last Name Of The Provider |
ALVI |
First Name Of The Provider |
SAUD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D.,FACR |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3922 WOODLEY RD |
Street Address 2 Of The Provider |
200 |
City Of The Provider |
TOLEDO |
Zip Code Of The Provider |
436061130 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
24886 |
Number Of Medicare Beneficiaries |
576 |
Total Submitted Charge Amount |
883641 |
Total Medicare Allowed Amount |
655025.65 |
Total Medicare Payment Amount |
488799.55 |
Total Medicare Standardized Payment Amount |
494674.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
15701 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
480672 |
Total Drug Medicare AllowedAmount |
406281.33 |
Total Drug Medicare PaymentAmount |
301346.57 |
Total Drug Medicare Standardized Payment Amount |
301346.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
9185 |
Number Of Medicare Beneficiaries With Medical Services |
576 |
Total Medical Submitted Charge Amount |
402969 |
Total Medical Medicare Allowed Amount |
248744.32 |
Total Medical Medicare Payment Amount |
187452.98 |
Total Medical Medicare Standardized Payment Amount |
193327.91 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
194 |
Number Of Non Hispanic White Beneficiaries |
459 |
Number Of Black or African American Beneficiaries |
91 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
407 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
169 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6687 |