National Provider Identifier [NPI]: |
1710982533 |
Last Name Of The Provider |
REYNOLDS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5301 E HURON RIVER DR |
Street Address 2 Of The Provider |
SUITE C139 |
City Of The Provider |
YPSILANTI |
Zip Code Of The Provider |
481971051 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
65162 |
Number Of Medicare Beneficiaries |
623 |
Total Submitted Charge Amount |
2109721.5 |
Total Medicare Allowed Amount |
1293907.03 |
Total Medicare Payment Amount |
1004235.94 |
Total Medicare Standardized Payment Amount |
999247.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
62297 |
Number Of Medicare Beneficiaries With Drug Services |
200 |
Total Drug Submitted ChargeAmount |
1717471 |
Total Drug Medicare AllowedAmount |
1066690.57 |
Total Drug Medicare PaymentAmount |
831621.16 |
Total Drug Medicare Standardized Payment Amount |
831621.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2865 |
Number Of Medicare Beneficiaries With Medical Services |
622 |
Total Medical Submitted Charge Amount |
392250.5 |
Total Medical Medicare Allowed Amount |
227216.46 |
Total Medical Medicare Payment Amount |
172614.78 |
Total Medical Medicare Standardized Payment Amount |
167626.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
283 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
391 |
Number Of Male Beneficiaries |
232 |
Number Of Non Hispanic White Beneficiaries |
558 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
549 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
57 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8299 |