National Provider Identifier [NPI]: |
1164468690 |
Last Name Of The Provider |
TRATE |
First Name Of The Provider |
TONI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
38215 W 10 MILE RD STE 8 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FARMINGTON HILLS |
Zip Code Of The Provider |
483352866 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
1475 |
Number Of Medicare Beneficiaries |
117 |
Total Submitted Charge Amount |
99161 |
Total Medicare Allowed Amount |
67762.3 |
Total Medicare Payment Amount |
46981.32 |
Total Medicare Standardized Payment Amount |
45830.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
116 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
3524 |
Total Drug Medicare AllowedAmount |
1433.17 |
Total Drug Medicare PaymentAmount |
1379.53 |
Total Drug Medicare Standardized Payment Amount |
1379.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
1359 |
Number Of Medicare Beneficiaries With Medical Services |
117 |
Total Medical Submitted Charge Amount |
95637 |
Total Medical Medicare Allowed Amount |
66329.13 |
Total Medical Medicare Payment Amount |
45601.79 |
Total Medical Medicare Standardized Payment Amount |
44451.37 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
39 |
Number Of Beneficiaries Age 75 to 84 |
14 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
79 |
Number Of Male Beneficiaries |
38 |
Number Of Non Hispanic White Beneficiaries |
90 |
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 |
71 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1095 |