National Provider Identifier [NPI]: |
1770554248 |
Last Name Of The Provider |
MOLNAR |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5020 W BRISTOL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485072919 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
9534 |
Number Of Medicare Beneficiaries |
1244 |
Total Submitted Charge Amount |
1770027.75 |
Total Medicare Allowed Amount |
738954.09 |
Total Medicare Payment Amount |
575956.67 |
Total Medicare Standardized Payment Amount |
597492.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6595 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
6710.75 |
Total Drug Medicare AllowedAmount |
1270.03 |
Total Drug Medicare PaymentAmount |
995.73 |
Total Drug Medicare Standardized Payment Amount |
995.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
134 |
Number Of Medical Services |
2939 |
Number Of Medicare Beneficiaries With Medical Services |
1244 |
Total Medical Submitted Charge Amount |
1763317 |
Total Medical Medicare Allowed Amount |
737684.06 |
Total Medical Medicare Payment Amount |
574960.94 |
Total Medical Medicare Standardized Payment Amount |
596496.51 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
285 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
416 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
632 |
Number Of Male Beneficiaries |
612 |
Number Of Non Hispanic White Beneficiaries |
892 |
Number Of Black or African American Beneficiaries |
307 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
883 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
361 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
3.6479 |