National Provider Identifier [NPI]: |
1902895170 |
Last Name Of The Provider |
ROGERS-GRAYS |
First Name Of The Provider |
BRENDA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1134 S LINDEN RD STE 6 BLDG C |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485323455 |
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 |
115 |
Number Of Services |
2371 |
Number Of Medicare Beneficiaries |
488 |
Total Submitted Charge Amount |
237610 |
Total Medicare Allowed Amount |
145215.64 |
Total Medicare Payment Amount |
111241.1 |
Total Medicare Standardized Payment Amount |
113820.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
492 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
7374 |
Total Drug Medicare AllowedAmount |
2804.74 |
Total Drug Medicare PaymentAmount |
2529.89 |
Total Drug Medicare Standardized Payment Amount |
2529.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
1879 |
Number Of Medicare Beneficiaries With Medical Services |
488 |
Total Medical Submitted Charge Amount |
230236 |
Total Medical Medicare Allowed Amount |
142410.9 |
Total Medical Medicare Payment Amount |
108711.21 |
Total Medical Medicare Standardized Payment Amount |
111290.26 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
330 |
Number Of Black or African American Beneficiaries |
144 |
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 |
176 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
312 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
42 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6618 |