National Provider Identifier [NPI]: |
1255321287 |
Last Name Of The Provider |
SWEET |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18161 W 13 MILE RD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480761113 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
4411 |
Number Of Medicare Beneficiaries |
272 |
Total Submitted Charge Amount |
119805 |
Total Medicare Allowed Amount |
74933.92 |
Total Medicare Payment Amount |
52978.43 |
Total Medicare Standardized Payment Amount |
52272.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
288 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
6192.5 |
Total Drug Medicare AllowedAmount |
4987.44 |
Total Drug Medicare PaymentAmount |
4166.29 |
Total Drug Medicare Standardized Payment Amount |
4166.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
4123 |
Number Of Medicare Beneficiaries With Medical Services |
272 |
Total Medical Submitted Charge Amount |
113612.5 |
Total Medical Medicare Allowed Amount |
69946.48 |
Total Medical Medicare Payment Amount |
48812.14 |
Total Medical Medicare Standardized Payment Amount |
48106.08 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
131 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
237 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
28 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8801 |