National Provider Identifier [NPI]: |
1114974672 |
Last Name Of The Provider |
DELPROPOSTO |
First Name Of The Provider |
ZACHARY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2799 W GRAND BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DETROIT |
Zip Code Of The Provider |
482022608 |
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 |
93 |
Number Of Services |
2767 |
Number Of Medicare Beneficiaries |
2012 |
Total Submitted Charge Amount |
375472 |
Total Medicare Allowed Amount |
77629.2 |
Total Medicare Payment Amount |
56130.53 |
Total Medicare Standardized Payment Amount |
54714.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
2767 |
Number Of Medicare Beneficiaries With Medical Services |
2012 |
Total Medical Submitted Charge Amount |
375472 |
Total Medical Medicare Allowed Amount |
77629.2 |
Total Medical Medicare Payment Amount |
56130.53 |
Total Medical Medicare Standardized Payment Amount |
54714.48 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
603 |
Number Of Beneficiaries Age 65 to 74 |
598 |
Number Of Beneficiaries Age 75 to 84 |
454 |
Number Of Beneficiaries Age Greater 84 |
357 |
Number Of Female Beneficiaries |
1149 |
Number Of Male Beneficiaries |
863 |
Number Of Non Hispanic White Beneficiaries |
904 |
Number Of Black or African American Beneficiaries |
988 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
1111 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
901 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.611 |