National Provider Identifier [NPI]: |
1003870148 |
Last Name Of The Provider |
ABRAHAMSON |
First Name Of The Provider |
ANNE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23255 EUREKA |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAYLOR |
Zip Code Of The Provider |
48180 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
9124 |
Number Of Medicare Beneficiaries |
461 |
Total Submitted Charge Amount |
449017.95 |
Total Medicare Allowed Amount |
309377.64 |
Total Medicare Payment Amount |
232157.54 |
Total Medicare Standardized Payment Amount |
227284.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
6685 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
49414.95 |
Total Drug Medicare AllowedAmount |
36766.6 |
Total Drug Medicare PaymentAmount |
28702.05 |
Total Drug Medicare Standardized Payment Amount |
28702.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2439 |
Number Of Medicare Beneficiaries With Medical Services |
460 |
Total Medical Submitted Charge Amount |
399603 |
Total Medical Medicare Allowed Amount |
272611.04 |
Total Medical Medicare Payment Amount |
203455.49 |
Total Medical Medicare Standardized Payment Amount |
198582.44 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
301 |
Number Of Male Beneficiaries |
160 |
Number Of Non Hispanic White Beneficiaries |
401 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
362 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.874 |