National Provider Identifier [NPI]: |
1609063403 |
Last Name Of The Provider |
NAIK |
First Name Of The Provider |
PAYAL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 E MEDICAL CENTER DR |
Street Address 2 Of The Provider |
3RD FLOOR TAUBMAN CENTER RECP C |
City Of The Provider |
ANN ARBOR |
Zip Code Of The Provider |
481095360 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
1706 |
Number Of Medicare Beneficiaries |
435 |
Total Submitted Charge Amount |
262146 |
Total Medicare Allowed Amount |
124798.56 |
Total Medicare Payment Amount |
97276.5 |
Total Medicare Standardized Payment Amount |
91700.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1706 |
Number Of Medicare Beneficiaries With Medical Services |
435 |
Total Medical Submitted Charge Amount |
262146 |
Total Medical Medicare Allowed Amount |
124798.56 |
Total Medical Medicare Payment Amount |
97276.5 |
Total Medical Medicare Standardized Payment Amount |
91700.42 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
247 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
402 |
Number Of Black or African American Beneficiaries |
14 |
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 |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7981 |