National Provider Identifier [NPI]: |
1558461392 |
Last Name Of The Provider |
SAINI |
First Name Of The Provider |
ANVITA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2221 LIVERNOIS RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
TROY |
Zip Code Of The Provider |
480831603 |
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 |
48 |
Number Of Services |
6287 |
Number Of Medicare Beneficiaries |
639 |
Total Submitted Charge Amount |
932884 |
Total Medicare Allowed Amount |
659058.06 |
Total Medicare Payment Amount |
513632.4 |
Total Medicare Standardized Payment Amount |
499135.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
190 |
Total Drug Medicare AllowedAmount |
110.04 |
Total Drug Medicare PaymentAmount |
101.27 |
Total Drug Medicare Standardized Payment Amount |
101.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
6264 |
Number Of Medicare Beneficiaries With Medical Services |
639 |
Total Medical Submitted Charge Amount |
932694 |
Total Medical Medicare Allowed Amount |
658948.02 |
Total Medical Medicare Payment Amount |
513531.13 |
Total Medical Medicare Standardized Payment Amount |
499033.94 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
384 |
Number Of Male Beneficiaries |
255 |
Number Of Non Hispanic White Beneficiaries |
342 |
Number Of Black or African American Beneficiaries |
265 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
256 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
23 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.8002 |