Medicare Facts for Dr. Paul V. Detrisac, MD


National Provider Identifier [NPI]: 1962506527
Last Name Of The Provider DETRISAC
First Name Of The Provider PAUL
Middle Initial Of The Provider V
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 24 N ST JOSEPH AVE
Street Address 2 Of The Provider
City Of The Provider NILES
Zip Code Of The Provider 49120
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 27
Number Of Services 2355
Number Of Medicare Beneficiaries 576
Total Submitted Charge Amount 253551.74
Total Medicare Allowed Amount 219818.43
Total Medicare Payment Amount 159190.61
Total Medicare Standardized Payment Amount 173233.63
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 58
Number Of Beneficiaries Age 65 to 74 152
Number Of Beneficiaries Age 75 to 84 211
Number Of Beneficiaries Age Greater 84 155
Number Of Female Beneficiaries 328
Number Of Male Beneficiaries 248
Number Of Non Hispanic White Beneficiaries 535
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 481
Number Of Beneficiaries With Medicare Medicaid Entitlement 95
Percent Of With Atrial Fibrillation 21
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 7
Percent Of With Cancer 12
Percent Of With Heart Failure 34
Percent Of With Chronic Kidney Disease 33
Percent Of With Chronic Obstructive Pulmonary Disease 29
Percent Of With Depression 29
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 49
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.463

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