National Provider Identifier [NPI]: |
1942397948 |
Last Name Of The Provider |
INMAN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 W WACKERLY ST |
Street Address 2 Of The Provider |
SUITE 1600 |
City Of The Provider |
MIDLAND |
Zip Code Of The Provider |
486404722 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1382 |
Number Of Medicare Beneficiaries |
793 |
Total Submitted Charge Amount |
494593.51 |
Total Medicare Allowed Amount |
153411.56 |
Total Medicare Payment Amount |
112000.57 |
Total Medicare Standardized Payment Amount |
112416.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1382 |
Number Of Medicare Beneficiaries With Medical Services |
793 |
Total Medical Submitted Charge Amount |
494593.51 |
Total Medical Medicare Allowed Amount |
153411.56 |
Total Medical Medicare Payment Amount |
112000.57 |
Total Medical Medicare Standardized Payment Amount |
112416.98 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
234 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
212 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
338 |
Number Of Non Hispanic White Beneficiaries |
731 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
472 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
321 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7715 |