National Provider Identifier [NPI]: |
1114987047 |
Last Name Of The Provider |
STENDER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3577 W 13 MILE RD |
Street Address 2 Of The Provider |
SUITE 404 |
City Of The Provider |
ROYAL OAK |
Zip Code Of The Provider |
480736710 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
106801 |
Number Of Medicare Beneficiaries |
957 |
Total Submitted Charge Amount |
2268702.45 |
Total Medicare Allowed Amount |
1720476.12 |
Total Medicare Payment Amount |
1344440.25 |
Total Medicare Standardized Payment Amount |
1336006.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
99186 |
Number Of Medicare Beneficiaries With Drug Services |
267 |
Total Drug Submitted ChargeAmount |
1778742.6 |
Total Drug Medicare AllowedAmount |
1418416.81 |
Total Drug Medicare PaymentAmount |
1103548.69 |
Total Drug Medicare Standardized Payment Amount |
1103548.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
7615 |
Number Of Medicare Beneficiaries With Medical Services |
957 |
Total Medical Submitted Charge Amount |
489959.85 |
Total Medical Medicare Allowed Amount |
302059.31 |
Total Medical Medicare Payment Amount |
240891.56 |
Total Medical Medicare Standardized Payment Amount |
232457.95 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
601 |
Number Of Male Beneficiaries |
356 |
Number Of Non Hispanic White Beneficiaries |
757 |
Number Of Black or African American Beneficiaries |
157 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
825 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.248 |