National Provider Identifier [NPI]: |
1447220918 |
Last Name Of The Provider |
SWARD |
First Name Of The Provider |
NICHOLAS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 JOHN ST |
Street Address 2 Of The Provider |
STE M020 |
City Of The Provider |
KALAMAZOO |
Zip Code Of The Provider |
490075341 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1197 |
Number Of Medicare Beneficiaries |
295 |
Total Submitted Charge Amount |
151172.87 |
Total Medicare Allowed Amount |
101190.98 |
Total Medicare Payment Amount |
68702.78 |
Total Medicare Standardized Payment Amount |
72954.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
135 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
4414 |
Total Drug Medicare AllowedAmount |
2889.21 |
Total Drug Medicare PaymentAmount |
2817.86 |
Total Drug Medicare Standardized Payment Amount |
2817.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1062 |
Number Of Medicare Beneficiaries With Medical Services |
295 |
Total Medical Submitted Charge Amount |
146758.87 |
Total Medical Medicare Allowed Amount |
98301.77 |
Total Medical Medicare Payment Amount |
65884.92 |
Total Medical Medicare Standardized Payment Amount |
70136.93 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
261 |
Number Of Black or African American Beneficiaries |
|
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 |
237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1392 |