National Provider Identifier [NPI]: |
1275863029 |
Last Name Of The Provider |
GARNER |
First Name Of The Provider |
ERIN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28050 GRAND RIVER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FARMINGTON HILLS |
Zip Code Of The Provider |
483365919 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
1757 |
Number Of Medicare Beneficiaries |
199 |
Total Submitted Charge Amount |
126201 |
Total Medicare Allowed Amount |
52072.56 |
Total Medicare Payment Amount |
44847.94 |
Total Medicare Standardized Payment Amount |
46621.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
808 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
30383 |
Total Drug Medicare AllowedAmount |
12664.7 |
Total Drug Medicare PaymentAmount |
9931.9 |
Total Drug Medicare Standardized Payment Amount |
9931.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
949 |
Number Of Medicare Beneficiaries With Medical Services |
199 |
Total Medical Submitted Charge Amount |
95818 |
Total Medical Medicare Allowed Amount |
39407.86 |
Total Medical Medicare Payment Amount |
34916.04 |
Total Medical Medicare Standardized Payment Amount |
36689.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
55 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
199 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
184 |
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 |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
183 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9472 |