National Provider Identifier [NPI]: |
1629133152 |
Last Name Of The Provider |
AMIN |
First Name Of The Provider |
ARTI |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14555 LEVAN RD |
Street Address 2 Of The Provider |
STE 314 |
City Of The Provider |
LIVONIA |
Zip Code Of The Provider |
48154 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
2404 |
Number Of Medicare Beneficiaries |
804 |
Total Submitted Charge Amount |
465603 |
Total Medicare Allowed Amount |
272326.5 |
Total Medicare Payment Amount |
208417.61 |
Total Medicare Standardized Payment Amount |
197527.81 |
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 |
21 |
Number Of Medical Services |
2404 |
Number Of Medicare Beneficiaries With Medical Services |
804 |
Total Medical Submitted Charge Amount |
465603 |
Total Medical Medicare Allowed Amount |
272326.5 |
Total Medical Medicare Payment Amount |
208417.61 |
Total Medical Medicare Standardized Payment Amount |
197527.81 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
306 |
Number Of Female Beneficiaries |
509 |
Number Of Male Beneficiaries |
295 |
Number Of Non Hispanic White Beneficiaries |
711 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
18 |
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 |
673 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
29 |
Average HCC Risk Score Of Beneficiaries |
2.1175 |