National Provider Identifier [NPI]: |
1306836416 |
Last Name Of The Provider |
GOEL |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1915 E 14 MILE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
480097244 |
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 |
73 |
Number Of Services |
5261 |
Number Of Medicare Beneficiaries |
937 |
Total Submitted Charge Amount |
1164246 |
Total Medicare Allowed Amount |
634430.11 |
Total Medicare Payment Amount |
479896.85 |
Total Medicare Standardized Payment Amount |
468155.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
124 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
2650 |
Total Drug Medicare AllowedAmount |
112.35 |
Total Drug Medicare PaymentAmount |
88.64 |
Total Drug Medicare Standardized Payment Amount |
88.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
5137 |
Number Of Medicare Beneficiaries With Medical Services |
937 |
Total Medical Submitted Charge Amount |
1161596 |
Total Medical Medicare Allowed Amount |
634317.76 |
Total Medical Medicare Payment Amount |
479808.21 |
Total Medical Medicare Standardized Payment Amount |
468066.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
463 |
Number Of Male Beneficiaries |
474 |
Number Of Non Hispanic White Beneficiaries |
719 |
Number Of Black or African American Beneficiaries |
140 |
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
687 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
250 |
Percent Of With Atrial Fibrillation |
49 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2183 |