National Provider Identifier [NPI]: |
1194740936 |
Last Name Of The Provider |
HUGHES |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25319 LITTLE MACK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAINT CLAIR SHORES |
Zip Code Of The Provider |
480813370 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3664 |
Number Of Medicare Beneficiaries |
1018 |
Total Submitted Charge Amount |
460094.5 |
Total Medicare Allowed Amount |
358432.58 |
Total Medicare Payment Amount |
274149.54 |
Total Medicare Standardized Payment Amount |
268957.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
855 |
Total Drug Medicare AllowedAmount |
467.56 |
Total Drug Medicare PaymentAmount |
453.27 |
Total Drug Medicare Standardized Payment Amount |
453.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3639 |
Number Of Medicare Beneficiaries With Medical Services |
1018 |
Total Medical Submitted Charge Amount |
459239.5 |
Total Medical Medicare Allowed Amount |
357965.02 |
Total Medical Medicare Payment Amount |
273696.27 |
Total Medical Medicare Standardized Payment Amount |
268504.49 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
226 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
561 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
646 |
Number Of Black or African American Beneficiaries |
339 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
694 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
324 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
68 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.8579 |