National Provider Identifier [NPI]: |
1841304961 |
Last Name Of The Provider |
HOWARD |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
405 N DIVISION RD |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
PETOSKEY |
Zip Code Of The Provider |
497709045 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
7013 |
Number Of Medicare Beneficiaries |
1081 |
Total Submitted Charge Amount |
680795 |
Total Medicare Allowed Amount |
433326.56 |
Total Medicare Payment Amount |
321845.84 |
Total Medicare Standardized Payment Amount |
332462.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2726 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
117781 |
Total Drug Medicare AllowedAmount |
98200.23 |
Total Drug Medicare PaymentAmount |
76318.98 |
Total Drug Medicare Standardized Payment Amount |
76318.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
4287 |
Number Of Medicare Beneficiaries With Medical Services |
1081 |
Total Medical Submitted Charge Amount |
563014 |
Total Medical Medicare Allowed Amount |
335126.33 |
Total Medical Medicare Payment Amount |
245526.86 |
Total Medical Medicare Standardized Payment Amount |
256143.14 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
411 |
Number Of Beneficiaries Age 75 to 84 |
418 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
792 |
Number Of Non Hispanic White Beneficiaries |
1048 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
941 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.187 |