National Provider Identifier [NPI]: |
1881845808 |
Last Name Of The Provider |
BABUSHKINA |
First Name Of The Provider |
ANNA |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11900 E 12 MILE RD |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
WARREN |
Zip Code Of The Provider |
480933400 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
1316 |
Number Of Medicare Beneficiaries |
281 |
Total Submitted Charge Amount |
617789.35 |
Total Medicare Allowed Amount |
166949.18 |
Total Medicare Payment Amount |
125525.94 |
Total Medicare Standardized Payment Amount |
122062.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
278 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
19479 |
Total Drug Medicare AllowedAmount |
7322.64 |
Total Drug Medicare PaymentAmount |
5735.76 |
Total Drug Medicare Standardized Payment Amount |
5735.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
1038 |
Number Of Medicare Beneficiaries With Medical Services |
281 |
Total Medical Submitted Charge Amount |
598310.35 |
Total Medical Medicare Allowed Amount |
159626.54 |
Total Medical Medicare Payment Amount |
119790.18 |
Total Medical Medicare Standardized Payment Amount |
116326.75 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
170 |
Number Of Male Beneficiaries |
111 |
Number Of Non Hispanic White Beneficiaries |
228 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
200 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4234 |