National Provider Identifier [NPI]: |
1609854793 |
Last Name Of The Provider |
CHERWIN |
First Name Of The Provider |
TERRENCE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
204 E MUNDY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAY CITY |
Zip Code Of The Provider |
487065154 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
3411 |
Number Of Medicare Beneficiaries |
711 |
Total Submitted Charge Amount |
647033.51 |
Total Medicare Allowed Amount |
405126.6 |
Total Medicare Payment Amount |
309432.61 |
Total Medicare Standardized Payment Amount |
318249.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
838 |
Number Of Medicare Beneficiaries With Drug Services |
296 |
Total Drug Submitted ChargeAmount |
72657 |
Total Drug Medicare AllowedAmount |
55204.87 |
Total Drug Medicare PaymentAmount |
42731.95 |
Total Drug Medicare Standardized Payment Amount |
42731.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
2573 |
Number Of Medicare Beneficiaries With Medical Services |
709 |
Total Medical Submitted Charge Amount |
574376.51 |
Total Medical Medicare Allowed Amount |
349921.73 |
Total Medical Medicare Payment Amount |
266700.66 |
Total Medical Medicare Standardized Payment Amount |
275517.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
446 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
686 |
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 |
602 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1844 |