National Provider Identifier [NPI]: |
1487746632 |
Last Name Of The Provider |
RIVES |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14500 KING RD |
Street Address 2 Of The Provider |
STE 2 |
City Of The Provider |
RIVERVIEW |
Zip Code Of The Provider |
481937957 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1694 |
Number Of Medicare Beneficiaries |
409 |
Total Submitted Charge Amount |
115695 |
Total Medicare Allowed Amount |
109204.73 |
Total Medicare Payment Amount |
84187.99 |
Total Medicare Standardized Payment Amount |
98231.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
118 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
665 |
Total Drug Medicare AllowedAmount |
478.41 |
Total Drug Medicare PaymentAmount |
370.56 |
Total Drug Medicare Standardized Payment Amount |
370.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1576 |
Number Of Medicare Beneficiaries With Medical Services |
409 |
Total Medical Submitted Charge Amount |
115030 |
Total Medical Medicare Allowed Amount |
108726.32 |
Total Medical Medicare Payment Amount |
83817.43 |
Total Medical Medicare Standardized Payment Amount |
97860.91 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
359 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
6 |
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 |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.715 |