National Provider Identifier [NPI]: |
1558471326 |
Last Name Of The Provider |
RAFIE |
First Name Of The Provider |
RAMIN |
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 |
21540 W 11 MILE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480763843 |
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 |
28 |
Number Of Services |
3571 |
Number Of Medicare Beneficiaries |
341 |
Total Submitted Charge Amount |
338488.77 |
Total Medicare Allowed Amount |
300267.44 |
Total Medicare Payment Amount |
222228.46 |
Total Medicare Standardized Payment Amount |
216058.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
587 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
4581.55 |
Total Drug Medicare AllowedAmount |
2927.29 |
Total Drug Medicare PaymentAmount |
2612.08 |
Total Drug Medicare Standardized Payment Amount |
2612.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2984 |
Number Of Medicare Beneficiaries With Medical Services |
341 |
Total Medical Submitted Charge Amount |
333907.22 |
Total Medical Medicare Allowed Amount |
297340.15 |
Total Medical Medicare Payment Amount |
219616.38 |
Total Medical Medicare Standardized Payment Amount |
213446.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
62 |
Number Of Beneficiaries Age 75 to 84 |
64 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
120 |
Number Of Non Hispanic White Beneficiaries |
178 |
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 |
180 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
49 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.4719 |