National Provider Identifier [NPI]: |
1063514693 |
Last Name Of The Provider |
RAAD |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3757 SLEEPY FOX DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER HILLS |
Zip Code Of The Provider |
483094518 |
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 |
102 |
Number Of Services |
4882 |
Number Of Medicare Beneficiaries |
578 |
Total Submitted Charge Amount |
371946 |
Total Medicare Allowed Amount |
267633.93 |
Total Medicare Payment Amount |
203564.32 |
Total Medicare Standardized Payment Amount |
200075.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
261 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
5973 |
Total Drug Medicare AllowedAmount |
3237.5 |
Total Drug Medicare PaymentAmount |
3099.09 |
Total Drug Medicare Standardized Payment Amount |
3099.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
4621 |
Number Of Medicare Beneficiaries With Medical Services |
578 |
Total Medical Submitted Charge Amount |
365973 |
Total Medical Medicare Allowed Amount |
264396.43 |
Total Medical Medicare Payment Amount |
200465.23 |
Total Medical Medicare Standardized Payment Amount |
196976.36 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
251 |
Number Of Non Hispanic White Beneficiaries |
530 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
509 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5851 |