National Provider Identifier [NPI]: |
1649262353 |
Last Name Of The Provider |
LIMCHOA |
First Name Of The Provider |
EMILIO |
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 |
24381 ORCHARD LAKE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FARMINGTON HILLS |
Zip Code Of The Provider |
483361917 |
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 |
26 |
Number Of Services |
7636 |
Number Of Medicare Beneficiaries |
647 |
Total Submitted Charge Amount |
798407 |
Total Medicare Allowed Amount |
680510.27 |
Total Medicare Payment Amount |
504018.44 |
Total Medicare Standardized Payment Amount |
489315.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
2310 |
Total Drug Medicare AllowedAmount |
794.64 |
Total Drug Medicare PaymentAmount |
778.8 |
Total Drug Medicare Standardized Payment Amount |
778.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
7570 |
Number Of Medicare Beneficiaries With Medical Services |
647 |
Total Medical Submitted Charge Amount |
796097 |
Total Medical Medicare Allowed Amount |
679715.63 |
Total Medical Medicare Payment Amount |
503239.64 |
Total Medical Medicare Standardized Payment Amount |
488536.56 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
198 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
424 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
72 |
Number Of Black or African American Beneficiaries |
542 |
Number Of AsianPacific Islander Beneficiaries |
17 |
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 |
301 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
346 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.984 |