National Provider Identifier [NPI]: |
1053429944 |
Last Name Of The Provider |
NG |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3490 CALKINS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485323506 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
4391 |
Number Of Medicare Beneficiaries |
2281 |
Total Submitted Charge Amount |
600305 |
Total Medicare Allowed Amount |
161633.88 |
Total Medicare Payment Amount |
124787.23 |
Total Medicare Standardized Payment Amount |
108973.55 |
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 |
29 |
Number Of Medical Services |
4391 |
Number Of Medicare Beneficiaries With Medical Services |
2281 |
Total Medical Submitted Charge Amount |
600305 |
Total Medical Medicare Allowed Amount |
161633.88 |
Total Medical Medicare Payment Amount |
124787.23 |
Total Medical Medicare Standardized Payment Amount |
108973.55 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
358 |
Number Of Beneficiaries Age 65 to 74 |
893 |
Number Of Beneficiaries Age 75 to 84 |
702 |
Number Of Beneficiaries Age Greater 84 |
328 |
Number Of Female Beneficiaries |
1190 |
Number Of Male Beneficiaries |
1091 |
Number Of Non Hispanic White Beneficiaries |
2019 |
Number Of Black or African American Beneficiaries |
208 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1916 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
365 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4428 |