National Provider Identifier [NPI]: |
1689642415 |
Last Name Of The Provider |
DOBIES |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3399 POLLOCK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND BLANC |
Zip Code Of The Provider |
484398393 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
4115 |
Number Of Medicare Beneficiaries |
1279 |
Total Submitted Charge Amount |
635784.96 |
Total Medicare Allowed Amount |
382816.83 |
Total Medicare Payment Amount |
281015.79 |
Total Medicare Standardized Payment Amount |
294937.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
2417.94 |
Total Drug Medicare AllowedAmount |
968.88 |
Total Drug Medicare PaymentAmount |
683.83 |
Total Drug Medicare Standardized Payment Amount |
683.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
4084 |
Number Of Medicare Beneficiaries With Medical Services |
1279 |
Total Medical Submitted Charge Amount |
633367.02 |
Total Medical Medicare Allowed Amount |
381847.95 |
Total Medical Medicare Payment Amount |
280331.96 |
Total Medical Medicare Standardized Payment Amount |
294253.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
462 |
Number Of Beneficiaries Age 75 to 84 |
454 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
579 |
Number Of Male Beneficiaries |
700 |
Number Of Non Hispanic White Beneficiaries |
1201 |
Number Of Black or African American Beneficiaries |
59 |
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 |
1110 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
169 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6697 |