National Provider Identifier [NPI]: |
1306827761 |
Last Name Of The Provider |
CARNEY |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
29201 TELEGRAPH RD |
Street Address 2 Of The Provider |
STE 404 |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480341331 |
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 |
69 |
Number Of Services |
5625 |
Number Of Medicare Beneficiaries |
388 |
Total Submitted Charge Amount |
349337 |
Total Medicare Allowed Amount |
256453.16 |
Total Medicare Payment Amount |
193896.12 |
Total Medicare Standardized Payment Amount |
191259.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2269 |
Number Of Medicare Beneficiaries With Drug Services |
239 |
Total Drug Submitted ChargeAmount |
43965 |
Total Drug Medicare AllowedAmount |
34283.35 |
Total Drug Medicare PaymentAmount |
27811.85 |
Total Drug Medicare Standardized Payment Amount |
27811.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
3356 |
Number Of Medicare Beneficiaries With Medical Services |
388 |
Total Medical Submitted Charge Amount |
305372 |
Total Medical Medicare Allowed Amount |
222169.81 |
Total Medical Medicare Payment Amount |
166084.27 |
Total Medical Medicare Standardized Payment Amount |
163447.73 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
208 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
286 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0958 |