National Provider Identifier [NPI]: |
1982692273 |
Last Name Of The Provider |
ZAZAIAN |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1012 W HURON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WATERFORD |
Zip Code Of The Provider |
483283730 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
6958 |
Number Of Medicare Beneficiaries |
1482 |
Total Submitted Charge Amount |
781893.75 |
Total Medicare Allowed Amount |
530879.28 |
Total Medicare Payment Amount |
408941.39 |
Total Medicare Standardized Payment Amount |
399059.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
449 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
6284.83 |
Total Drug Medicare AllowedAmount |
2388.99 |
Total Drug Medicare PaymentAmount |
2279.63 |
Total Drug Medicare Standardized Payment Amount |
2279.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
6509 |
Number Of Medicare Beneficiaries With Medical Services |
1482 |
Total Medical Submitted Charge Amount |
775608.92 |
Total Medical Medicare Allowed Amount |
528490.29 |
Total Medical Medicare Payment Amount |
406661.76 |
Total Medical Medicare Standardized Payment Amount |
396779.38 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
450 |
Number Of Beneficiaries Age 65 to 74 |
460 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
822 |
Number Of Male Beneficiaries |
660 |
Number Of Non Hispanic White Beneficiaries |
1049 |
Number Of Black or African American Beneficiaries |
357 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
924 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
558 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1161 |