National Provider Identifier [NPI]: |
1245231216 |
Last Name Of The Provider |
WILHELM |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
702 W LAKE LANSING RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST LANSING |
Zip Code Of The Provider |
488238526 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
11321 |
Number Of Medicare Beneficiaries |
1447 |
Total Submitted Charge Amount |
2862205 |
Total Medicare Allowed Amount |
1785584.18 |
Total Medicare Payment Amount |
1363332.04 |
Total Medicare Standardized Payment Amount |
1394098.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2751 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
1107338 |
Total Drug Medicare AllowedAmount |
986721.49 |
Total Drug Medicare PaymentAmount |
767369.28 |
Total Drug Medicare Standardized Payment Amount |
767369.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
8570 |
Number Of Medicare Beneficiaries With Medical Services |
1447 |
Total Medical Submitted Charge Amount |
1754867 |
Total Medical Medicare Allowed Amount |
798862.69 |
Total Medical Medicare Payment Amount |
595962.76 |
Total Medical Medicare Standardized Payment Amount |
626728.96 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
548 |
Number Of Beneficiaries Age 75 to 84 |
448 |
Number Of Beneficiaries Age Greater 84 |
297 |
Number Of Female Beneficiaries |
854 |
Number Of Male Beneficiaries |
593 |
Number Of Non Hispanic White Beneficiaries |
1242 |
Number Of Black or African American Beneficiaries |
117 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2126 |