National Provider Identifier [NPI]: |
1619900412 |
Last Name Of The Provider |
BARCLAY |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
602 MICHIGAN AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOLLAND |
Zip Code Of The Provider |
49423 |
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 |
205 |
Number Of Services |
5755 |
Number Of Medicare Beneficiaries |
3664 |
Total Submitted Charge Amount |
595469 |
Total Medicare Allowed Amount |
161476.91 |
Total Medicare Payment Amount |
128734.31 |
Total Medicare Standardized Payment Amount |
132671.19 |
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 |
205 |
Number Of Medical Services |
5755 |
Number Of Medicare Beneficiaries With Medical Services |
3664 |
Total Medical Submitted Charge Amount |
595469 |
Total Medical Medicare Allowed Amount |
161476.91 |
Total Medical Medicare Payment Amount |
128734.31 |
Total Medical Medicare Standardized Payment Amount |
132671.19 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
956 |
Number Of Beneficiaries Age 65 to 74 |
1182 |
Number Of Beneficiaries Age 75 to 84 |
973 |
Number Of Beneficiaries Age Greater 84 |
553 |
Number Of Female Beneficiaries |
2310 |
Number Of Male Beneficiaries |
1354 |
Number Of Non Hispanic White Beneficiaries |
3036 |
Number Of Black or African American Beneficiaries |
474 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
31 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1261 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6606 |