National Provider Identifier [NPI]: |
1396935946 |
Last Name Of The Provider |
ABDUL-MALEK |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28050 GRAND RIVER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FARMINGTON HILLS |
Zip Code Of The Provider |
483365919 |
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 |
40 |
Number Of Services |
2723 |
Number Of Medicare Beneficiaries |
1044 |
Total Submitted Charge Amount |
333298 |
Total Medicare Allowed Amount |
229739.94 |
Total Medicare Payment Amount |
176674.38 |
Total Medicare Standardized Payment Amount |
173419.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
131 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
6978 |
Total Drug Medicare AllowedAmount |
5860.19 |
Total Drug Medicare PaymentAmount |
4589.69 |
Total Drug Medicare Standardized Payment Amount |
4589.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2592 |
Number Of Medicare Beneficiaries With Medical Services |
1044 |
Total Medical Submitted Charge Amount |
326320 |
Total Medical Medicare Allowed Amount |
223879.75 |
Total Medical Medicare Payment Amount |
172084.69 |
Total Medical Medicare Standardized Payment Amount |
168829.92 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
219 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
227 |
Number Of Female Beneficiaries |
621 |
Number Of Male Beneficiaries |
423 |
Number Of Non Hispanic White Beneficiaries |
768 |
Number Of Black or African American Beneficiaries |
242 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
724 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
320 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.3051 |