National Provider Identifier [NPI]: |
1285661546 |
Last Name Of The Provider |
KREPOSTMAN |
First Name Of The Provider |
ABRAHAM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
315 E WARWICK DR |
Street Address 2 Of The Provider |
SUITE E |
City Of The Provider |
ALMA |
Zip Code Of The Provider |
488011083 |
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 |
69 |
Number Of Services |
5638 |
Number Of Medicare Beneficiaries |
1769 |
Total Submitted Charge Amount |
1047859 |
Total Medicare Allowed Amount |
396305.53 |
Total Medicare Payment Amount |
293477.55 |
Total Medicare Standardized Payment Amount |
305445.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
499 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
30292 |
Total Drug Medicare AllowedAmount |
24862.73 |
Total Drug Medicare PaymentAmount |
19492.23 |
Total Drug Medicare Standardized Payment Amount |
19492.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
5139 |
Number Of Medicare Beneficiaries With Medical Services |
1769 |
Total Medical Submitted Charge Amount |
1017567 |
Total Medical Medicare Allowed Amount |
371442.8 |
Total Medical Medicare Payment Amount |
273985.32 |
Total Medical Medicare Standardized Payment Amount |
285953.53 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
248 |
Number Of Beneficiaries Age 65 to 74 |
562 |
Number Of Beneficiaries Age 75 to 84 |
588 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
940 |
Number Of Male Beneficiaries |
829 |
Number Of Non Hispanic White Beneficiaries |
1672 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1321 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
448 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7398 |