National Provider Identifier [NPI]: |
1104800986 |
Last Name Of The Provider |
MARGOLIS |
First Name Of The Provider |
HAROLD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27301 DEQUINDRE RD |
Street Address 2 Of The Provider |
STE 314 |
City Of The Provider |
MADISON HEIGHTS |
Zip Code Of The Provider |
48071 |
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 |
113 |
Number Of Services |
228934 |
Number Of Medicare Beneficiaries |
1234 |
Total Submitted Charge Amount |
3103996.27 |
Total Medicare Allowed Amount |
1747495.69 |
Total Medicare Payment Amount |
1361651.54 |
Total Medicare Standardized Payment Amount |
1353527.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
49 |
Number Of Drug Services |
216917 |
Number Of Medicare Beneficiaries With Drug Services |
311 |
Total Drug Submitted ChargeAmount |
2294393 |
Total Drug Medicare AllowedAmount |
1295715.22 |
Total Drug Medicare PaymentAmount |
1013092.16 |
Total Drug Medicare Standardized Payment Amount |
1013092.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
12017 |
Number Of Medicare Beneficiaries With Medical Services |
1233 |
Total Medical Submitted Charge Amount |
809603.27 |
Total Medical Medicare Allowed Amount |
451780.47 |
Total Medical Medicare Payment Amount |
348559.38 |
Total Medical Medicare Standardized Payment Amount |
340435.36 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
251 |
Number Of Beneficiaries Age 65 to 74 |
427 |
Number Of Beneficiaries Age 75 to 84 |
359 |
Number Of Beneficiaries Age Greater 84 |
197 |
Number Of Female Beneficiaries |
684 |
Number Of Male Beneficiaries |
550 |
Number Of Non Hispanic White Beneficiaries |
852 |
Number Of Black or African American Beneficiaries |
309 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
857 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
377 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0807 |