National Provider Identifier [NPI]: |
1649250879 |
Last Name Of The Provider |
ATKINSON |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O, |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 E MICHIGAN AVE |
Street Address 2 Of The Provider |
SUITE 415 |
City Of The Provider |
LANSING |
Zip Code Of The Provider |
489121800 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
1973 |
Number Of Medicare Beneficiaries |
632 |
Total Submitted Charge Amount |
249307 |
Total Medicare Allowed Amount |
158429.6 |
Total Medicare Payment Amount |
118264.33 |
Total Medicare Standardized Payment Amount |
123628.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
118 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
1944 |
Total Drug Medicare AllowedAmount |
927.44 |
Total Drug Medicare PaymentAmount |
813.19 |
Total Drug Medicare Standardized Payment Amount |
813.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1855 |
Number Of Medicare Beneficiaries With Medical Services |
632 |
Total Medical Submitted Charge Amount |
247363 |
Total Medical Medicare Allowed Amount |
157502.16 |
Total Medical Medicare Payment Amount |
117451.14 |
Total Medical Medicare Standardized Payment Amount |
122815.36 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
337 |
Number Of Male Beneficiaries |
295 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
460 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
172 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
28 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8704 |