National Provider Identifier [NPI]: |
1366510893 |
Last Name Of The Provider |
SOILE |
First Name Of The Provider |
REMI |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20905 GREENFIELD RD |
Street Address 2 Of The Provider |
SUITE 406 |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480755360 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
3635 |
Number Of Medicare Beneficiaries |
377 |
Total Submitted Charge Amount |
482861.05 |
Total Medicare Allowed Amount |
331556.22 |
Total Medicare Payment Amount |
255114.42 |
Total Medicare Standardized Payment Amount |
247640.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
91 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
2043.05 |
Total Drug Medicare AllowedAmount |
624.73 |
Total Drug Medicare PaymentAmount |
568.28 |
Total Drug Medicare Standardized Payment Amount |
568.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3544 |
Number Of Medicare Beneficiaries With Medical Services |
377 |
Total Medical Submitted Charge Amount |
480818 |
Total Medical Medicare Allowed Amount |
330931.49 |
Total Medical Medicare Payment Amount |
254546.14 |
Total Medical Medicare Standardized Payment Amount |
247072.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
208 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
338 |
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 |
196 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
2.7658 |