National Provider Identifier [NPI]: |
1336101740 |
Last Name Of The Provider |
BOYLE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
750 E BELTLINE AVE NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
495256049 |
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 |
82 |
Number Of Services |
2098 |
Number Of Medicare Beneficiaries |
545 |
Total Submitted Charge Amount |
646065.4 |
Total Medicare Allowed Amount |
270457.63 |
Total Medicare Payment Amount |
204957.01 |
Total Medicare Standardized Payment Amount |
183044.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
534 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
16495.5 |
Total Drug Medicare AllowedAmount |
12688.85 |
Total Drug Medicare PaymentAmount |
9916.31 |
Total Drug Medicare Standardized Payment Amount |
9916.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
1564 |
Number Of Medicare Beneficiaries With Medical Services |
545 |
Total Medical Submitted Charge Amount |
629569.9 |
Total Medical Medicare Allowed Amount |
257768.78 |
Total Medical Medicare Payment Amount |
195040.7 |
Total Medical Medicare Standardized Payment Amount |
173127.74 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
350 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
499 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
467 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1364 |