National Provider Identifier [NPI]: |
1487781712 |
Last Name Of The Provider |
ZAHARI |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14535 NORTHLINE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTHGATE |
Zip Code Of The Provider |
48195 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
4253 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
332822 |
Total Medicare Allowed Amount |
252867.06 |
Total Medicare Payment Amount |
181323.83 |
Total Medicare Standardized Payment Amount |
180561.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
142 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
2840 |
Total Drug Medicare AllowedAmount |
812.18 |
Total Drug Medicare PaymentAmount |
623.26 |
Total Drug Medicare Standardized Payment Amount |
623.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4111 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
329982 |
Total Medical Medicare Allowed Amount |
252054.88 |
Total Medical Medicare Payment Amount |
180700.57 |
Total Medical Medicare Standardized Payment Amount |
179938.62 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
411 |
Number Of Male Beneficiaries |
295 |
Number Of Non Hispanic White Beneficiaries |
617 |
Number Of Black or African American Beneficiaries |
53 |
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 |
589 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5257 |