National Provider Identifier [NPI]: |
1386639680 |
Last Name Of The Provider |
DANSO |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4011 ORCHARD DR |
Street Address 2 Of The Provider |
SUITE 1000 |
City Of The Provider |
MIDLAND |
Zip Code Of The Provider |
486406190 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
81532 |
Number Of Medicare Beneficiaries |
564 |
Total Submitted Charge Amount |
1911701.01 |
Total Medicare Allowed Amount |
1307265.87 |
Total Medicare Payment Amount |
1016118.69 |
Total Medicare Standardized Payment Amount |
1019475.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
42 |
Number Of Drug Services |
77951 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
1504015.52 |
Total Drug Medicare AllowedAmount |
1057793.29 |
Total Drug Medicare PaymentAmount |
827905.96 |
Total Drug Medicare Standardized Payment Amount |
827905.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3581 |
Number Of Medicare Beneficiaries With Medical Services |
564 |
Total Medical Submitted Charge Amount |
407685.49 |
Total Medical Medicare Allowed Amount |
249472.58 |
Total Medical Medicare Payment Amount |
188212.73 |
Total Medical Medicare Standardized Payment Amount |
191569.49 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
297 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
551 |
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 |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8329 |