National Provider Identifier [NPI]: |
1831131788 |
Last Name Of The Provider |
LANG |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28711 8 MILE RD |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
LIVONIA |
Zip Code Of The Provider |
481522040 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
4545 |
Number Of Medicare Beneficiaries |
665 |
Total Submitted Charge Amount |
434472 |
Total Medicare Allowed Amount |
358508.26 |
Total Medicare Payment Amount |
274333.88 |
Total Medicare Standardized Payment Amount |
266472.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
104 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
1715 |
Total Drug Medicare AllowedAmount |
1016.4 |
Total Drug Medicare PaymentAmount |
972.65 |
Total Drug Medicare Standardized Payment Amount |
972.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4441 |
Number Of Medicare Beneficiaries With Medical Services |
665 |
Total Medical Submitted Charge Amount |
432757 |
Total Medical Medicare Allowed Amount |
357491.86 |
Total Medical Medicare Payment Amount |
273361.23 |
Total Medical Medicare Standardized Payment Amount |
265499.36 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
394 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
437 |
Number Of Black or African American Beneficiaries |
206 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
450 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
215 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.4482 |