National Provider Identifier [NPI]: |
1336190834 |
Last Name Of The Provider |
STEWART |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27901 WOODWARD AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BERKLEY |
Zip Code Of The Provider |
480720919 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
11949 |
Number Of Medicare Beneficiaries |
6912 |
Total Submitted Charge Amount |
510579 |
Total Medicare Allowed Amount |
205406.9 |
Total Medicare Payment Amount |
148700.24 |
Total Medicare Standardized Payment Amount |
145418.92 |
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 |
21 |
Number Of Medical Services |
11949 |
Number Of Medicare Beneficiaries With Medical Services |
6912 |
Total Medical Submitted Charge Amount |
510579 |
Total Medical Medicare Allowed Amount |
205406.9 |
Total Medical Medicare Payment Amount |
148700.24 |
Total Medical Medicare Standardized Payment Amount |
145418.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
1060 |
Number Of Beneficiaries Age 65 to 74 |
2032 |
Number Of Beneficiaries Age 75 to 84 |
2128 |
Number Of Beneficiaries Age Greater 84 |
1692 |
Number Of Female Beneficiaries |
3729 |
Number Of Male Beneficiaries |
3183 |
Number Of Non Hispanic White Beneficiaries |
5148 |
Number Of Black or African American Beneficiaries |
1425 |
Number Of AsianPacific Islander Beneficiaries |
133 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
125 |
Number Of Beneficiaries With Medicare Only Entitlement |
5453 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1459 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1942 |