National Provider Identifier [NPI]: |
1184621336 |
Last Name Of The Provider |
BARON |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11900 E 12 MILE RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
WARREN |
Zip Code Of The Provider |
480933400 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
39308 |
Number Of Medicare Beneficiaries |
461 |
Total Submitted Charge Amount |
2144644.5 |
Total Medicare Allowed Amount |
1765418.81 |
Total Medicare Payment Amount |
1376534.4 |
Total Medicare Standardized Payment Amount |
1362191.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
29867 |
Number Of Medicare Beneficiaries With Drug Services |
270 |
Total Drug Submitted ChargeAmount |
1522028.5 |
Total Drug Medicare AllowedAmount |
1398529.24 |
Total Drug Medicare PaymentAmount |
1096802.3 |
Total Drug Medicare Standardized Payment Amount |
1096802.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
9441 |
Number Of Medicare Beneficiaries With Medical Services |
461 |
Total Medical Submitted Charge Amount |
622616 |
Total Medical Medicare Allowed Amount |
366889.57 |
Total Medical Medicare Payment Amount |
279732.1 |
Total Medical Medicare Standardized Payment Amount |
265389.29 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
347 |
Number Of Male Beneficiaries |
114 |
Number Of Non Hispanic White Beneficiaries |
406 |
Number Of Black or African American Beneficiaries |
37 |
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 |
408 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5622 |