National Provider Identifier [NPI]: |
1043238074 |
Last Name Of The Provider |
SPARSCHU |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
HURLEY MEDICAL CENTER |
Street Address 2 Of The Provider |
ONE HURLEY PLAZA - RADIOLOGY DEPT |
City Of The Provider |
FLINT |
Zip Code Of The Provider |
48503 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
29185 |
Number Of Medicare Beneficiaries |
3988 |
Total Submitted Charge Amount |
871634.92 |
Total Medicare Allowed Amount |
361742.5 |
Total Medicare Payment Amount |
285446.17 |
Total Medicare Standardized Payment Amount |
304634.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
22008 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
41665.92 |
Total Drug Medicare AllowedAmount |
4786.38 |
Total Drug Medicare PaymentAmount |
3717.5 |
Total Drug Medicare Standardized Payment Amount |
3717.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
172 |
Number Of Medical Services |
7177 |
Number Of Medicare Beneficiaries With Medical Services |
3988 |
Total Medical Submitted Charge Amount |
829969 |
Total Medical Medicare Allowed Amount |
356956.12 |
Total Medical Medicare Payment Amount |
281728.67 |
Total Medical Medicare Standardized Payment Amount |
300917.25 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
1100 |
Number Of Beneficiaries Age 65 to 74 |
1446 |
Number Of Beneficiaries Age 75 to 84 |
1009 |
Number Of Beneficiaries Age Greater 84 |
433 |
Number Of Female Beneficiaries |
2525 |
Number Of Male Beneficiaries |
1463 |
Number Of Non Hispanic White Beneficiaries |
2672 |
Number Of Black or African American Beneficiaries |
1207 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2776 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1212 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6613 |