National Provider Identifier [NPI]: |
1326027483 |
Last Name Of The Provider |
RAHI |
First Name Of The Provider |
RAYMOND |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
36175 HARPER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLINTON TOWNSHIP |
Zip Code Of The Provider |
480353274 |
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 |
115 |
Number Of Services |
7393 |
Number Of Medicare Beneficiaries |
1890 |
Total Submitted Charge Amount |
349286 |
Total Medicare Allowed Amount |
175529.46 |
Total Medicare Payment Amount |
149146.57 |
Total Medicare Standardized Payment Amount |
146779.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4152 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
2076 |
Total Drug Medicare AllowedAmount |
799.09 |
Total Drug Medicare PaymentAmount |
626.45 |
Total Drug Medicare Standardized Payment Amount |
626.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
3241 |
Number Of Medicare Beneficiaries With Medical Services |
1890 |
Total Medical Submitted Charge Amount |
347210 |
Total Medical Medicare Allowed Amount |
174730.37 |
Total Medical Medicare Payment Amount |
148520.12 |
Total Medical Medicare Standardized Payment Amount |
146153.53 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
678 |
Number Of Beneficiaries Age 75 to 84 |
600 |
Number Of Beneficiaries Age Greater 84 |
350 |
Number Of Female Beneficiaries |
1366 |
Number Of Male Beneficiaries |
524 |
Number Of Non Hispanic White Beneficiaries |
1444 |
Number Of Black or African American Beneficiaries |
396 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
292 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5007 |