National Provider Identifier [NPI]: |
1508850736 |
Last Name Of The Provider |
RAFFEE |
First Name Of The Provider |
ABDULLAH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5051 VILLA LINDE PKWY |
Street Address 2 Of The Provider |
STE 23 |
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485323449 |
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 |
110 |
Number Of Services |
10355 |
Number Of Medicare Beneficiaries |
464 |
Total Submitted Charge Amount |
723056.5 |
Total Medicare Allowed Amount |
497544.51 |
Total Medicare Payment Amount |
386683.98 |
Total Medicare Standardized Payment Amount |
409709.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1461 |
Number Of Medicare Beneficiaries With Drug Services |
213 |
Total Drug Submitted ChargeAmount |
21624.5 |
Total Drug Medicare AllowedAmount |
16504.06 |
Total Drug Medicare PaymentAmount |
13536.6 |
Total Drug Medicare Standardized Payment Amount |
13536.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
8894 |
Number Of Medicare Beneficiaries With Medical Services |
464 |
Total Medical Submitted Charge Amount |
701432 |
Total Medical Medicare Allowed Amount |
481040.45 |
Total Medical Medicare Payment Amount |
373147.38 |
Total Medical Medicare Standardized Payment Amount |
396173.02 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
265 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
196 |
Number Of Black or African American Beneficiaries |
254 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.458 |