Medicare Facts for Dr. Michael R. Clark, MD


National Provider Identifier [NPI]: 1386745446
Last Name Of The Provider CLARK
First Name Of The Provider MICHAEL
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1215 E MICHIGAN AVE
Street Address 2 Of The Provider
City Of The Provider LANSING
Zip Code Of The Provider 489121811
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 22
Number Of Services 647
Number Of Medicare Beneficiaries 376
Total Submitted Charge Amount 310888
Total Medicare Allowed Amount 67057.48
Total Medicare Payment Amount 50876.33
Total Medicare Standardized Payment Amount 51474.22
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 22
Number Of Medical Services 647
Number Of Medicare Beneficiaries With Medical Services 376
Total Medical Submitted Charge Amount 310888
Total Medical Medicare Allowed Amount 67057.48
Total Medical Medicare Payment Amount 50876.33
Total Medical Medicare Standardized Payment Amount 51474.22
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 98
Number Of Beneficiaries Age 65 to 74 95
Number Of Beneficiaries Age 75 to 84 88
Number Of Beneficiaries Age Greater 84 95
Number Of Female Beneficiaries 202
Number Of Male Beneficiaries 174
Number Of Non Hispanic White Beneficiaries 309
Number Of Black or African American Beneficiaries 40
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 253
Number Of Beneficiaries With Medicare Medicaid Entitlement 123
Percent Of With Atrial Fibrillation 21
Percent Of With Alzheimers Disease or Dementia 32
Percent Of With Asthma 17
Percent Of With Cancer 11
Percent Of With Heart Failure 39
Percent Of With Chronic Kidney Disease 40
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 43
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 52
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders 11
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 2.0407

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