National Provider Identifier [NPI]: |
1376534495 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
ANNA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14705 W UPRIGHT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHARLEVOIX |
Zip Code Of The Provider |
497201949 |
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 |
29 |
Number Of Services |
1189 |
Number Of Medicare Beneficiaries |
396 |
Total Submitted Charge Amount |
104777 |
Total Medicare Allowed Amount |
63468.18 |
Total Medicare Payment Amount |
47130.61 |
Total Medicare Standardized Payment Amount |
50729.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
117 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
4025 |
Total Drug Medicare AllowedAmount |
2355.05 |
Total Drug Medicare PaymentAmount |
2307.55 |
Total Drug Medicare Standardized Payment Amount |
2307.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
1072 |
Number Of Medicare Beneficiaries With Medical Services |
394 |
Total Medical Submitted Charge Amount |
100752 |
Total Medical Medicare Allowed Amount |
61113.13 |
Total Medical Medicare Payment Amount |
44823.06 |
Total Medical Medicare Standardized Payment Amount |
48422.09 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
108 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
306 |
Number Of Male Beneficiaries |
90 |
Number Of Non Hispanic White Beneficiaries |
385 |
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 |
235 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2163 |