National Provider Identifier [NPI]: |
1750335188 |
Last Name Of The Provider |
HALADJIAN |
First Name Of The Provider |
RAZMIG |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19725 ALLEN RD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
BROWNSTOWN TWP |
Zip Code Of The Provider |
481831090 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
6088 |
Number Of Medicare Beneficiaries |
710 |
Total Submitted Charge Amount |
2712479.75 |
Total Medicare Allowed Amount |
605754.41 |
Total Medicare Payment Amount |
463030.35 |
Total Medicare Standardized Payment Amount |
461425.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2111 |
Number Of Medicare Beneficiaries With Drug Services |
239 |
Total Drug Submitted ChargeAmount |
727932 |
Total Drug Medicare AllowedAmount |
21789.07 |
Total Drug Medicare PaymentAmount |
16801.03 |
Total Drug Medicare Standardized Payment Amount |
16801.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3977 |
Number Of Medicare Beneficiaries With Medical Services |
710 |
Total Medical Submitted Charge Amount |
1984547.75 |
Total Medical Medicare Allowed Amount |
583965.34 |
Total Medical Medicare Payment Amount |
446229.32 |
Total Medical Medicare Standardized Payment Amount |
444624.13 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
273 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
426 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
616 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
493 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5029 |