National Provider Identifier [NPI]: |
1083731392 |
Last Name Of The Provider |
BILOLIKAR |
First Name Of The Provider |
ABHAY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3601 W 13 MILE RD |
Street Address 2 Of The Provider |
WILLIAM BEAUMONT HOSPITAL |
City Of The Provider |
ROYAL OAK |
Zip Code Of The Provider |
480736712 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
1592 |
Number Of Medicare Beneficiaries |
1037 |
Total Submitted Charge Amount |
258958 |
Total Medicare Allowed Amount |
106069.03 |
Total Medicare Payment Amount |
80155.69 |
Total Medicare Standardized Payment Amount |
78239.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1592 |
Number Of Medicare Beneficiaries With Medical Services |
1037 |
Total Medical Submitted Charge Amount |
258958 |
Total Medical Medicare Allowed Amount |
106069.03 |
Total Medical Medicare Payment Amount |
80155.69 |
Total Medical Medicare Standardized Payment Amount |
78239.53 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
236 |
Number Of Female Beneficiaries |
550 |
Number Of Male Beneficiaries |
487 |
Number Of Non Hispanic White Beneficiaries |
772 |
Number Of Black or African American Beneficiaries |
220 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
828 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.3831 |