National Provider Identifier [NPI]: |
1417029364 |
Last Name Of The Provider |
ROBINSON |
First Name Of The Provider |
CYNANE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16250 NORTHLAND DR |
Street Address 2 Of The Provider |
SUITE 312 |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480755228 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
2383 |
Number Of Medicare Beneficiaries |
303 |
Total Submitted Charge Amount |
324329 |
Total Medicare Allowed Amount |
249406.34 |
Total Medicare Payment Amount |
191579.17 |
Total Medicare Standardized Payment Amount |
186228.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
1940 |
Total Drug Medicare AllowedAmount |
1231.22 |
Total Drug Medicare PaymentAmount |
1206.17 |
Total Drug Medicare Standardized Payment Amount |
1206.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2337 |
Number Of Medicare Beneficiaries With Medical Services |
303 |
Total Medical Submitted Charge Amount |
322389 |
Total Medical Medicare Allowed Amount |
248175.12 |
Total Medical Medicare Payment Amount |
190373 |
Total Medical Medicare Standardized Payment Amount |
185022.07 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
74 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
206 |
Number Of Male Beneficiaries |
97 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
284 |
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 |
113 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.7832 |