National Provider Identifier [NPI]: |
1780678110 |
Last Name Of The Provider |
RAAP |
First Name Of The Provider |
BRENT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4293 N HURON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PINCONNING |
Zip Code Of The Provider |
486508402 |
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 |
70 |
Number Of Services |
2830 |
Number Of Medicare Beneficiaries |
629 |
Total Submitted Charge Amount |
237203.28 |
Total Medicare Allowed Amount |
173346.04 |
Total Medicare Payment Amount |
119819.22 |
Total Medicare Standardized Payment Amount |
126850.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
284 |
Number Of Medicare Beneficiaries With Drug Services |
164 |
Total Drug Submitted ChargeAmount |
5703 |
Total Drug Medicare AllowedAmount |
3958.68 |
Total Drug Medicare PaymentAmount |
3709.71 |
Total Drug Medicare Standardized Payment Amount |
3709.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2546 |
Number Of Medicare Beneficiaries With Medical Services |
629 |
Total Medical Submitted Charge Amount |
231500.28 |
Total Medical Medicare Allowed Amount |
169387.36 |
Total Medical Medicare Payment Amount |
116109.51 |
Total Medical Medicare Standardized Payment Amount |
123141 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
252 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
331 |
Number Of Male Beneficiaries |
298 |
Number Of Non Hispanic White Beneficiaries |
609 |
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 |
530 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9935 |