National Provider Identifier [NPI]: |
1093776684 |
Last Name Of The Provider |
LEPLEY |
First Name Of The Provider |
RAGHAD |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1641 S MILFORD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HIGHLAND |
Zip Code Of The Provider |
483574886 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
2979 |
Number Of Medicare Beneficiaries |
128 |
Total Submitted Charge Amount |
58880 |
Total Medicare Allowed Amount |
48774.67 |
Total Medicare Payment Amount |
34121.25 |
Total Medicare Standardized Payment Amount |
33781.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2367 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
7395 |
Total Drug Medicare AllowedAmount |
6664.45 |
Total Drug Medicare PaymentAmount |
5245.13 |
Total Drug Medicare Standardized Payment Amount |
5245.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
612 |
Number Of Medicare Beneficiaries With Medical Services |
128 |
Total Medical Submitted Charge Amount |
51485 |
Total Medical Medicare Allowed Amount |
42110.22 |
Total Medical Medicare Payment Amount |
28876.12 |
Total Medical Medicare Standardized Payment Amount |
28536.25 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
38 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
90 |
Number Of Male Beneficiaries |
38 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
63 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3197 |