National Provider Identifier [NPI]: |
1124072400 |
Last Name Of The Provider |
AJLUNI |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4200 WHITEHALL DR |
Street Address 2 Of The Provider |
STE 150 |
City Of The Provider |
ANN ARBOR |
Zip Code Of The Provider |
48105 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
2242 |
Number Of Medicare Beneficiaries |
1459 |
Total Submitted Charge Amount |
170167 |
Total Medicare Allowed Amount |
88284.97 |
Total Medicare Payment Amount |
60553.06 |
Total Medicare Standardized Payment Amount |
61372.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
594 |
Total Drug Medicare AllowedAmount |
49.57 |
Total Drug Medicare PaymentAmount |
38.98 |
Total Drug Medicare Standardized Payment Amount |
38.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
2186 |
Number Of Medicare Beneficiaries With Medical Services |
1459 |
Total Medical Submitted Charge Amount |
169573 |
Total Medical Medicare Allowed Amount |
88235.4 |
Total Medical Medicare Payment Amount |
60514.08 |
Total Medical Medicare Standardized Payment Amount |
61333.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
658 |
Number Of Beneficiaries Age 75 to 84 |
397 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
914 |
Number Of Male Beneficiaries |
545 |
Number Of Non Hispanic White Beneficiaries |
1301 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0452 |