National Provider Identifier [NPI]: |
1295756047 |
Last Name Of The Provider |
STRAUSS |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 JEFFERSON SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
49503 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
211 |
Number Of Services |
4390 |
Number Of Medicare Beneficiaries |
2688 |
Total Submitted Charge Amount |
467711 |
Total Medicare Allowed Amount |
158545.74 |
Total Medicare Payment Amount |
125937.59 |
Total Medicare Standardized Payment Amount |
131339.33 |
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 |
211 |
Number Of Medical Services |
4390 |
Number Of Medicare Beneficiaries With Medical Services |
2688 |
Total Medical Submitted Charge Amount |
467711 |
Total Medical Medicare Allowed Amount |
158545.74 |
Total Medical Medicare Payment Amount |
125937.59 |
Total Medical Medicare Standardized Payment Amount |
131339.33 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
912 |
Number Of Beneficiaries Age 65 to 74 |
812 |
Number Of Beneficiaries Age 75 to 84 |
593 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
1628 |
Number Of Male Beneficiaries |
1060 |
Number Of Non Hispanic White Beneficiaries |
2126 |
Number Of Black or African American Beneficiaries |
370 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
110 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1037 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.879 |