National Provider Identifier [NPI]: |
1073589867 |
Last Name Of The Provider |
SCHWARTZ |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
411 S OLD WOODWARD AVE |
Street Address 2 Of The Provider |
#1018 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
480096645 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
213 |
Number Of Services |
12542 |
Number Of Medicare Beneficiaries |
2675 |
Total Submitted Charge Amount |
564205 |
Total Medicare Allowed Amount |
208635.76 |
Total Medicare Payment Amount |
159328.37 |
Total Medicare Standardized Payment Amount |
157178.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
7750 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
7750 |
Total Drug Medicare AllowedAmount |
1435.96 |
Total Drug Medicare PaymentAmount |
1125.68 |
Total Drug Medicare Standardized Payment Amount |
1125.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
212 |
Number Of Medical Services |
4792 |
Number Of Medicare Beneficiaries With Medical Services |
2675 |
Total Medical Submitted Charge Amount |
556455 |
Total Medical Medicare Allowed Amount |
207199.8 |
Total Medical Medicare Payment Amount |
158202.69 |
Total Medical Medicare Standardized Payment Amount |
156053.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
582 |
Number Of Beneficiaries Age 65 to 74 |
900 |
Number Of Beneficiaries Age 75 to 84 |
707 |
Number Of Beneficiaries Age Greater 84 |
486 |
Number Of Female Beneficiaries |
1621 |
Number Of Male Beneficiaries |
1054 |
Number Of Non Hispanic White Beneficiaries |
1705 |
Number Of Black or African American Beneficiaries |
871 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1855 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
820 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0759 |