National Provider Identifier [NPI]: |
1124220868 |
Last Name Of The Provider |
ARMOUDLIAN |
First Name Of The Provider |
VAUGHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
903 TARTAN TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLOOMFIELD HILLS |
Zip Code Of The Provider |
483043821 |
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 |
38 |
Number Of Services |
2607 |
Number Of Medicare Beneficiaries |
449 |
Total Submitted Charge Amount |
423491.9 |
Total Medicare Allowed Amount |
305261.91 |
Total Medicare Payment Amount |
230148.4 |
Total Medicare Standardized Payment Amount |
225405.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
1035 |
Total Drug Medicare AllowedAmount |
270.98 |
Total Drug Medicare PaymentAmount |
257.45 |
Total Drug Medicare Standardized Payment Amount |
257.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2568 |
Number Of Medicare Beneficiaries With Medical Services |
449 |
Total Medical Submitted Charge Amount |
422456.9 |
Total Medical Medicare Allowed Amount |
304990.93 |
Total Medical Medicare Payment Amount |
229890.95 |
Total Medical Medicare Standardized Payment Amount |
225148.53 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
249 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
112 |
Number Of Black or African American Beneficiaries |
318 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
152 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.0076 |