National Provider Identifier [NPI]: |
1427164854 |
Last Name Of The Provider |
DOYLE |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5555 GULL RD |
Street Address 2 Of The Provider |
#201 |
City Of The Provider |
KALAMAZOO |
Zip Code Of The Provider |
49040 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
2476 |
Number Of Medicare Beneficiaries |
390 |
Total Submitted Charge Amount |
201241 |
Total Medicare Allowed Amount |
143223.1 |
Total Medicare Payment Amount |
99630.81 |
Total Medicare Standardized Payment Amount |
107130.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
363 |
Number Of Medicare Beneficiaries With Drug Services |
132 |
Total Drug Submitted ChargeAmount |
6659 |
Total Drug Medicare AllowedAmount |
1932.28 |
Total Drug Medicare PaymentAmount |
1709.96 |
Total Drug Medicare Standardized Payment Amount |
1709.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
2113 |
Number Of Medicare Beneficiaries With Medical Services |
390 |
Total Medical Submitted Charge Amount |
194582 |
Total Medical Medicare Allowed Amount |
141290.82 |
Total Medical Medicare Payment Amount |
97920.85 |
Total Medical Medicare Standardized Payment Amount |
105420.37 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
195 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
336 |
Number Of Black or African American Beneficiaries |
37 |
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 |
373 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
39 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9198 |