National Provider Identifier [NPI]: |
1457340390 |
Last Name Of The Provider |
NADEAU |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3577 W 13 MILE RD |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
ROYAL OAK |
Zip Code Of The Provider |
480736710 |
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 |
120 |
Number Of Services |
137079 |
Number Of Medicare Beneficiaries |
722 |
Total Submitted Charge Amount |
3158738.31 |
Total Medicare Allowed Amount |
1880805.29 |
Total Medicare Payment Amount |
1469790.67 |
Total Medicare Standardized Payment Amount |
1458822.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
69 |
Number Of Drug Services |
128088 |
Number Of Medicare Beneficiaries With Drug Services |
327 |
Total Drug Submitted ChargeAmount |
2533591.05 |
Total Drug Medicare AllowedAmount |
1503780.57 |
Total Drug Medicare PaymentAmount |
1177779.97 |
Total Drug Medicare Standardized Payment Amount |
1177779.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
8991 |
Number Of Medicare Beneficiaries With Medical Services |
720 |
Total Medical Submitted Charge Amount |
625147.26 |
Total Medical Medicare Allowed Amount |
377024.72 |
Total Medical Medicare Payment Amount |
292010.7 |
Total Medical Medicare Standardized Payment Amount |
281042.68 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
288 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
604 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.1717 |