National Provider Identifier [NPI]: |
1396731634 |
Last Name Of The Provider |
SWISHER |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2311 S CEDAR ST |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
LANSING |
Zip Code Of The Provider |
489103191 |
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 |
30 |
Number Of Services |
2493 |
Number Of Medicare Beneficiaries |
413 |
Total Submitted Charge Amount |
154507 |
Total Medicare Allowed Amount |
130252.02 |
Total Medicare Payment Amount |
97843.27 |
Total Medicare Standardized Payment Amount |
102397.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
245 |
Number Of Medicare Beneficiaries With Drug Services |
217 |
Total Drug Submitted ChargeAmount |
5063 |
Total Drug Medicare AllowedAmount |
4095.93 |
Total Drug Medicare PaymentAmount |
3997.65 |
Total Drug Medicare Standardized Payment Amount |
3997.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2248 |
Number Of Medicare Beneficiaries With Medical Services |
413 |
Total Medical Submitted Charge Amount |
149444 |
Total Medical Medicare Allowed Amount |
126156.09 |
Total Medical Medicare Payment Amount |
93845.62 |
Total Medical Medicare Standardized Payment Amount |
98399.8 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
191 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
388 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9195 |