National Provider Identifier [NPI]: |
1184843781 |
Last Name Of The Provider |
KUHN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
416 CONNABLE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PETOSKEY |
Zip Code Of The Provider |
497702212 |
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 |
198 |
Number Of Services |
5147 |
Number Of Medicare Beneficiaries |
3258 |
Total Submitted Charge Amount |
474256.77 |
Total Medicare Allowed Amount |
172373.3 |
Total Medicare Payment Amount |
134157.95 |
Total Medicare Standardized Payment Amount |
139128.84 |
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 |
198 |
Number Of Medical Services |
5147 |
Number Of Medicare Beneficiaries With Medical Services |
3258 |
Total Medical Submitted Charge Amount |
474256.77 |
Total Medical Medicare Allowed Amount |
172373.3 |
Total Medical Medicare Payment Amount |
134157.95 |
Total Medical Medicare Standardized Payment Amount |
139128.84 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
570 |
Number Of Beneficiaries Age 65 to 74 |
1294 |
Number Of Beneficiaries Age 75 to 84 |
966 |
Number Of Beneficiaries Age Greater 84 |
428 |
Number Of Female Beneficiaries |
1864 |
Number Of Male Beneficiaries |
1394 |
Number Of Non Hispanic White Beneficiaries |
3120 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
80 |
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
2544 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
714 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2849 |