National Provider Identifier [NPI]: |
1649214974 |
Last Name Of The Provider |
RAINA |
First Name Of The Provider |
ABHINAV |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30055 NORTHWESTERN HWY |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
FARMINGTON HILLS |
Zip Code Of The Provider |
483343230 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
7891 |
Number Of Medicare Beneficiaries |
2761 |
Total Submitted Charge Amount |
1052925.06 |
Total Medicare Allowed Amount |
623786.21 |
Total Medicare Payment Amount |
465108.98 |
Total Medicare Standardized Payment Amount |
463597.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1012 |
Number Of Medicare Beneficiaries With Drug Services |
187 |
Total Drug Submitted ChargeAmount |
5124 |
Total Drug Medicare AllowedAmount |
1154.01 |
Total Drug Medicare PaymentAmount |
847.36 |
Total Drug Medicare Standardized Payment Amount |
847.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
6879 |
Number Of Medicare Beneficiaries With Medical Services |
2761 |
Total Medical Submitted Charge Amount |
1047801.06 |
Total Medical Medicare Allowed Amount |
622632.2 |
Total Medical Medicare Payment Amount |
464261.62 |
Total Medical Medicare Standardized Payment Amount |
462750.01 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
424 |
Number Of Beneficiaries Age 65 to 74 |
1018 |
Number Of Beneficiaries Age 75 to 84 |
769 |
Number Of Beneficiaries Age Greater 84 |
550 |
Number Of Female Beneficiaries |
1582 |
Number Of Male Beneficiaries |
1179 |
Number Of Non Hispanic White Beneficiaries |
1827 |
Number Of Black or African American Beneficiaries |
768 |
Number Of AsianPacific Islander Beneficiaries |
66 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
2190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
571 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8138 |