National Provider Identifier [NPI]: |
1144223918 |
Last Name Of The Provider |
HALPRIN |
First Name Of The Provider |
STANLEY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
36561 HARPER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLINTON TWP |
Zip Code Of The Provider |
480352012 |
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 |
69 |
Number Of Services |
2762 |
Number Of Medicare Beneficiaries |
1427 |
Total Submitted Charge Amount |
237655 |
Total Medicare Allowed Amount |
131368.46 |
Total Medicare Payment Amount |
99444.24 |
Total Medicare Standardized Payment Amount |
97397.82 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
|
Total Drug Medicare PaymentAmount |
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Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
293 |
Number Of Beneficiaries Age 65 to 74 |
468 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
330 |
Number Of Female Beneficiaries |
897 |
Number Of Male Beneficiaries |
530 |
Number Of Non Hispanic White Beneficiaries |
775 |
Number Of Black or African American Beneficiaries |
589 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
871 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
556 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0602 |