National Provider Identifier [NPI]: |
1851340012 |
Last Name Of The Provider |
MESSENGER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1515 LAKE LANSING RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
LANSING |
Zip Code Of The Provider |
489123753 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
14913 |
Number Of Medicare Beneficiaries |
3371 |
Total Submitted Charge Amount |
1966268 |
Total Medicare Allowed Amount |
916290.88 |
Total Medicare Payment Amount |
663538.67 |
Total Medicare Standardized Payment Amount |
693090.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
667 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
2530 |
Total Drug Medicare AllowedAmount |
1360.67 |
Total Drug Medicare PaymentAmount |
966.73 |
Total Drug Medicare Standardized Payment Amount |
966.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
14246 |
Number Of Medicare Beneficiaries With Medical Services |
3371 |
Total Medical Submitted Charge Amount |
1963738 |
Total Medical Medicare Allowed Amount |
914930.21 |
Total Medical Medicare Payment Amount |
662571.94 |
Total Medical Medicare Standardized Payment Amount |
692123.9 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
1463 |
Number Of Beneficiaries Age 75 to 84 |
1198 |
Number Of Beneficiaries Age Greater 84 |
554 |
Number Of Female Beneficiaries |
1547 |
Number Of Male Beneficiaries |
1824 |
Number Of Non Hispanic White Beneficiaries |
3247 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
3259 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9906 |