National Provider Identifier [NPI]: |
1154390193 |
Last Name Of The Provider |
APPIAGYEI |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1243 W 79TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606203709 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
6862 |
Number Of Medicare Beneficiaries |
519 |
Total Submitted Charge Amount |
886635.77 |
Total Medicare Allowed Amount |
563678.19 |
Total Medicare Payment Amount |
428933.92 |
Total Medicare Standardized Payment Amount |
402052.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
501 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
7068 |
Total Drug Medicare AllowedAmount |
2259.4 |
Total Drug Medicare PaymentAmount |
2002.23 |
Total Drug Medicare Standardized Payment Amount |
2002.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
6361 |
Number Of Medicare Beneficiaries With Medical Services |
519 |
Total Medical Submitted Charge Amount |
879567.77 |
Total Medical Medicare Allowed Amount |
561418.79 |
Total Medical Medicare Payment Amount |
426931.69 |
Total Medical Medicare Standardized Payment Amount |
400049.95 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
197 |
Number Of Non Hispanic White Beneficiaries |
17 |
Number Of Black or African American Beneficiaries |
489 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
91 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
428 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.4011 |