National Provider Identifier [NPI]: |
1336137264 |
Last Name Of The Provider |
CONLIN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
G3239 BEECHER RD |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485323616 |
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 |
194 |
Number Of Services |
9511 |
Number Of Medicare Beneficiaries |
4457 |
Total Submitted Charge Amount |
591511 |
Total Medicare Allowed Amount |
285541.12 |
Total Medicare Payment Amount |
216434.99 |
Total Medicare Standardized Payment Amount |
221726.43 |
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 |
194 |
Number Of Medical Services |
9511 |
Number Of Medicare Beneficiaries With Medical Services |
4457 |
Total Medical Submitted Charge Amount |
591511 |
Total Medical Medicare Allowed Amount |
285541.12 |
Total Medical Medicare Payment Amount |
216434.99 |
Total Medical Medicare Standardized Payment Amount |
221726.43 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1145 |
Number Of Beneficiaries Age 65 to 74 |
1380 |
Number Of Beneficiaries Age 75 to 84 |
1212 |
Number Of Beneficiaries Age Greater 84 |
720 |
Number Of Female Beneficiaries |
2597 |
Number Of Male Beneficiaries |
1860 |
Number Of Non Hispanic White Beneficiaries |
3256 |
Number Of Black or African American Beneficiaries |
1080 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
70 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
3197 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1260 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.1639 |