Medicare Facts for Dr. Susan G. Moore, MD


National Provider Identifier [NPI]: 1831135664
Last Name Of The Provider MOORE
First Name Of The Provider SUSAN
Middle Initial Of The Provider G
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3355 EAGLE PARK DR NE
Street Address 2 Of The Provider SUITE 103
City Of The Provider GRAND RAPIDS
Zip Code Of The Provider 495257004
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 27
Number Of Services 1292
Number Of Medicare Beneficiaries 359
Total Submitted Charge Amount 139849.85
Total Medicare Allowed Amount 117822.99
Total Medicare Payment Amount 86052.64
Total Medicare Standardized Payment Amount 88580.18
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 46
Number Of Medicare Beneficiaries With Drug Services 44
Total Drug Submitted ChargeAmount 773.85
Total Drug Medicare AllowedAmount 713.7
Total Drug Medicare PaymentAmount 696.36
Total Drug Medicare Standardized Payment Amount 696.36
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 23
Number Of Medical Services 1246
Number Of Medicare Beneficiaries With Medical Services 359
Total Medical Submitted Charge Amount 139076
Total Medical Medicare Allowed Amount 117109.29
Total Medical Medicare Payment Amount 85356.28
Total Medical Medicare Standardized Payment Amount 87883.82
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 134
Number Of Beneficiaries Age 65 to 74 91
Number Of Beneficiaries Age 75 to 84 80
Number Of Beneficiaries Age Greater 84 54
Number Of Female Beneficiaries 223
Number Of Male Beneficiaries 136
Number Of Non Hispanic White Beneficiaries 255
Number Of Black or African American Beneficiaries
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 128
Number Of Beneficiaries With Medicare Medicaid Entitlement 231
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 43
Percent Of With Asthma 19
Percent Of With Cancer 5
Percent Of With Heart Failure 59
Percent Of With Chronic Kidney Disease 56
Percent Of With Chronic Obstructive Pulmonary Disease 39
Percent Of With Depression 41
Percent Of With Diabetes 55
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 50
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 63
Percent Of With Schizophrenia Other PsychoticDisorders 21
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 2.6093

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