National Provider Identifier [NPI]: |
1215044565 |
Last Name Of The Provider |
HELIGMAN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM PC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2954 INTERLAKEN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST BLOOMFIELD |
Zip Code Of The Provider |
483231817 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
4755 |
Number Of Medicare Beneficiaries |
1496 |
Total Submitted Charge Amount |
426782 |
Total Medicare Allowed Amount |
273327.19 |
Total Medicare Payment Amount |
204306.06 |
Total Medicare Standardized Payment Amount |
200955.67 |
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 |
24 |
Number Of Medical Services |
4755 |
Number Of Medicare Beneficiaries With Medical Services |
1496 |
Total Medical Submitted Charge Amount |
426782 |
Total Medical Medicare Allowed Amount |
273327.19 |
Total Medical Medicare Payment Amount |
204306.06 |
Total Medical Medicare Standardized Payment Amount |
200955.67 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
298 |
Number Of Beneficiaries Age 65 to 74 |
294 |
Number Of Beneficiaries Age 75 to 84 |
353 |
Number Of Beneficiaries Age Greater 84 |
551 |
Number Of Female Beneficiaries |
993 |
Number Of Male Beneficiaries |
503 |
Number Of Non Hispanic White Beneficiaries |
1041 |
Number Of Black or African American Beneficiaries |
413 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
909 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
587 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
47 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0757 |