National Provider Identifier [NPI]: |
1043218621 |
Last Name Of The Provider |
GEIMER |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44344 DEQUINDRE RD |
Street Address 2 Of The Provider |
SUITE 480 |
City Of The Provider |
STERLING HEIGHTS |
Zip Code Of The Provider |
483141003 |
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 |
45 |
Number Of Services |
1894 |
Number Of Medicare Beneficiaries |
143 |
Total Submitted Charge Amount |
141579.14 |
Total Medicare Allowed Amount |
96951.89 |
Total Medicare Payment Amount |
71510.4 |
Total Medicare Standardized Payment Amount |
70360.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
272 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
5945 |
Total Drug Medicare AllowedAmount |
4872.26 |
Total Drug Medicare PaymentAmount |
4711.39 |
Total Drug Medicare Standardized Payment Amount |
4711.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1622 |
Number Of Medicare Beneficiaries With Medical Services |
143 |
Total Medical Submitted Charge Amount |
135634.14 |
Total Medical Medicare Allowed Amount |
92079.63 |
Total Medical Medicare Payment Amount |
66799.01 |
Total Medical Medicare Standardized Payment Amount |
65649.19 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
75 |
Number Of Beneficiaries Age 75 to 84 |
37 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
115 |
Number Of Male Beneficiaries |
28 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1 |