National Provider Identifier [NPI]: |
1518991686 |
Last Name Of The Provider |
MALINOFF |
First Name Of The Provider |
HERBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
325 E EISENHOWER |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ANN ARBOR |
Zip Code Of The Provider |
481085721 |
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 |
22 |
Number Of Services |
860 |
Number Of Medicare Beneficiaries |
301 |
Total Submitted Charge Amount |
118777 |
Total Medicare Allowed Amount |
89239.44 |
Total Medicare Payment Amount |
60218.35 |
Total Medicare Standardized Payment Amount |
62279.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
19 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
530 |
Total Drug Medicare AllowedAmount |
355.05 |
Total Drug Medicare PaymentAmount |
347.91 |
Total Drug Medicare Standardized Payment Amount |
347.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
841 |
Number Of Medicare Beneficiaries With Medical Services |
301 |
Total Medical Submitted Charge Amount |
118247 |
Total Medical Medicare Allowed Amount |
88884.39 |
Total Medical Medicare Payment Amount |
59870.44 |
Total Medical Medicare Standardized Payment Amount |
61931.11 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
43 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
275 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3012 |