National Provider Identifier [NPI]: |
1306817523 |
Last Name Of The Provider |
RAPER |
First Name Of The Provider |
RALPH |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7804 ALLEN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALLEN PARK |
Zip Code Of The Provider |
481011702 |
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 |
63 |
Number Of Services |
8697 |
Number Of Medicare Beneficiaries |
934 |
Total Submitted Charge Amount |
900243.2 |
Total Medicare Allowed Amount |
587871 |
Total Medicare Payment Amount |
445957.13 |
Total Medicare Standardized Payment Amount |
436360.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1528 |
Number Of Medicare Beneficiaries With Drug Services |
324 |
Total Drug Submitted ChargeAmount |
36231 |
Total Drug Medicare AllowedAmount |
27093.2 |
Total Drug Medicare PaymentAmount |
23529.12 |
Total Drug Medicare Standardized Payment Amount |
23529.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
7169 |
Number Of Medicare Beneficiaries With Medical Services |
934 |
Total Medical Submitted Charge Amount |
864012.2 |
Total Medical Medicare Allowed Amount |
560777.8 |
Total Medical Medicare Payment Amount |
422428.01 |
Total Medical Medicare Standardized Payment Amount |
412831.51 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
610 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
895 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
853 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5519 |