National Provider Identifier [NPI]: |
1801097761 |
Last Name Of The Provider |
ARNOLD |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2799 W GRAND BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DETROIT |
Zip Code Of The Provider |
482022608 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
6432 |
Number Of Medicare Beneficiaries |
3733 |
Total Submitted Charge Amount |
440813.05 |
Total Medicare Allowed Amount |
209729.57 |
Total Medicare Payment Amount |
164996.24 |
Total Medicare Standardized Payment Amount |
159754.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
187 |
Number Of Medical Services |
6432 |
Number Of Medicare Beneficiaries With Medical Services |
3733 |
Total Medical Submitted Charge Amount |
440813.05 |
Total Medical Medicare Allowed Amount |
209729.57 |
Total Medical Medicare Payment Amount |
164996.24 |
Total Medical Medicare Standardized Payment Amount |
159754.96 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
820 |
Number Of Beneficiaries Age 65 to 74 |
1129 |
Number Of Beneficiaries Age 75 to 84 |
1040 |
Number Of Beneficiaries Age Greater 84 |
744 |
Number Of Female Beneficiaries |
2505 |
Number Of Male Beneficiaries |
1228 |
Number Of Non Hispanic White Beneficiaries |
2986 |
Number Of Black or African American Beneficiaries |
568 |
Number Of AsianPacific Islander Beneficiaries |
69 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
66 |
Number Of Beneficiaries With Medicare Only Entitlement |
2528 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1205 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1015 |