National Provider Identifier [NPI]: |
1982662326 |
Last Name Of The Provider |
RANDAZZO |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
36175 HARPER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLINTON TOWNSHIP |
Zip Code Of The Provider |
480353274 |
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 |
161 |
Number Of Services |
5041 |
Number Of Medicare Beneficiaries |
2993 |
Total Submitted Charge Amount |
545393 |
Total Medicare Allowed Amount |
227821.25 |
Total Medicare Payment Amount |
172288.32 |
Total Medicare Standardized Payment Amount |
170395.26 |
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 |
161 |
Number Of Medical Services |
5041 |
Number Of Medicare Beneficiaries With Medical Services |
2993 |
Total Medical Submitted Charge Amount |
545393 |
Total Medical Medicare Allowed Amount |
227821.25 |
Total Medical Medicare Payment Amount |
172288.32 |
Total Medical Medicare Standardized Payment Amount |
170395.26 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
565 |
Number Of Beneficiaries Age 65 to 74 |
937 |
Number Of Beneficiaries Age 75 to 84 |
855 |
Number Of Beneficiaries Age Greater 84 |
636 |
Number Of Female Beneficiaries |
1782 |
Number Of Male Beneficiaries |
1211 |
Number Of Non Hispanic White Beneficiaries |
2709 |
Number Of Black or African American Beneficiaries |
179 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
2372 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
621 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9478 |