National Provider Identifier [NPI]: |
1619938909 |
Last Name Of The Provider |
RANKIN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3535 W 13 MILE RD |
Street Address 2 Of The Provider |
STE 247 |
City Of The Provider |
ROYAL OAK |
Zip Code Of The Provider |
480736770 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
18340 |
Number Of Medicare Beneficiaries |
857 |
Total Submitted Charge Amount |
3721747.6 |
Total Medicare Allowed Amount |
1066825.91 |
Total Medicare Payment Amount |
828289.11 |
Total Medicare Standardized Payment Amount |
814328.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
14464 |
Number Of Medicare Beneficiaries With Drug Services |
242 |
Total Drug Submitted ChargeAmount |
44059.6 |
Total Drug Medicare AllowedAmount |
5738.22 |
Total Drug Medicare PaymentAmount |
4508.82 |
Total Drug Medicare Standardized Payment Amount |
4508.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3876 |
Number Of Medicare Beneficiaries With Medical Services |
857 |
Total Medical Submitted Charge Amount |
3677688 |
Total Medical Medicare Allowed Amount |
1061087.69 |
Total Medical Medicare Payment Amount |
823780.29 |
Total Medical Medicare Standardized Payment Amount |
809819.87 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
242 |
Number Of Beneficiaries Age 65 to 74 |
243 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
377 |
Number Of Male Beneficiaries |
480 |
Number Of Non Hispanic White Beneficiaries |
498 |
Number Of Black or African American Beneficiaries |
305 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
609 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
71 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
5.4689 |