National Provider Identifier [NPI]: |
1255323432 |
Last Name Of The Provider |
DAYEM |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12000 MCCRACKEN RD |
Street Address 2 Of The Provider |
# 210 |
City Of The Provider |
GARFIELD HEIGHTS |
Zip Code Of The Provider |
441252964 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
6664 |
Number Of Medicare Beneficiaries |
1277 |
Total Submitted Charge Amount |
931406 |
Total Medicare Allowed Amount |
573189.79 |
Total Medicare Payment Amount |
425547.36 |
Total Medicare Standardized Payment Amount |
437196.73 |
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 |
19 |
Number Of Medical Services |
6664 |
Number Of Medicare Beneficiaries With Medical Services |
1277 |
Total Medical Submitted Charge Amount |
931406 |
Total Medical Medicare Allowed Amount |
573189.79 |
Total Medical Medicare Payment Amount |
425547.36 |
Total Medical Medicare Standardized Payment Amount |
437196.73 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
263 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
338 |
Number Of Beneficiaries Age Greater 84 |
412 |
Number Of Female Beneficiaries |
801 |
Number Of Male Beneficiaries |
476 |
Number Of Non Hispanic White Beneficiaries |
883 |
Number Of Black or African American Beneficiaries |
359 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
888 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
72 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
47 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.6657 |