National Provider Identifier [NPI]: |
1063653798 |
Last Name Of The Provider |
MORELLI |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
350 LAFAYETTE AVE SE |
Street Address 2 Of The Provider |
SUITE 308 |
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
495034656 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
1042 |
Number Of Medicare Beneficiaries |
144 |
Total Submitted Charge Amount |
124117 |
Total Medicare Allowed Amount |
46155.3 |
Total Medicare Payment Amount |
32763.4 |
Total Medicare Standardized Payment Amount |
31554.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
573 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
2637.5 |
Total Drug Medicare AllowedAmount |
1402.72 |
Total Drug Medicare PaymentAmount |
1081.83 |
Total Drug Medicare Standardized Payment Amount |
1081.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
469 |
Number Of Medicare Beneficiaries With Medical Services |
144 |
Total Medical Submitted Charge Amount |
121479.5 |
Total Medical Medicare Allowed Amount |
44752.58 |
Total Medical Medicare Payment Amount |
31681.57 |
Total Medical Medicare Standardized Payment Amount |
30472.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
69 |
Number Of Male Beneficiaries |
75 |
Number Of Non Hispanic White Beneficiaries |
132 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
122 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
24 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9334 |