National Provider Identifier [NPI]: |
1740270420 |
Last Name Of The Provider |
BIRCH |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 W TIENKEN RD |
Street Address 2 Of The Provider |
STE C |
City Of The Provider |
ROCHESTER HILLS |
Zip Code Of The Provider |
483064474 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
7636 |
Number Of Medicare Beneficiaries |
120 |
Total Submitted Charge Amount |
257108.15 |
Total Medicare Allowed Amount |
256067.1 |
Total Medicare Payment Amount |
197992.1 |
Total Medicare Standardized Payment Amount |
191072.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
4896 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
122971.03 |
Total Drug Medicare AllowedAmount |
122522.01 |
Total Drug Medicare PaymentAmount |
95437.07 |
Total Drug Medicare Standardized Payment Amount |
95437.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2740 |
Number Of Medicare Beneficiaries With Medical Services |
120 |
Total Medical Submitted Charge Amount |
134137.12 |
Total Medical Medicare Allowed Amount |
133545.09 |
Total Medical Medicare Payment Amount |
102555.03 |
Total Medical Medicare Standardized Payment Amount |
95635.19 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
52 |
Number Of Beneficiaries Age 75 to 84 |
38 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
70 |
Number Of Male Beneficiaries |
50 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
105 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
|
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.021 |