National Provider Identifier [NPI]: |
1003893934 |
Last Name Of The Provider |
KORKIGIAN |
First Name Of The Provider |
ARMEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2635 COOLIDGE HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BERKLEY |
Zip Code Of The Provider |
480721554 |
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 |
167 |
Number Of Services |
13391 |
Number Of Medicare Beneficiaries |
895 |
Total Submitted Charge Amount |
1288022 |
Total Medicare Allowed Amount |
821436.74 |
Total Medicare Payment Amount |
643773.51 |
Total Medicare Standardized Payment Amount |
597888.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
747 |
Number Of Medicare Beneficiaries With Drug Services |
266 |
Total Drug Submitted ChargeAmount |
53117 |
Total Drug Medicare AllowedAmount |
19155.81 |
Total Drug Medicare PaymentAmount |
15728.48 |
Total Drug Medicare Standardized Payment Amount |
15728.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
12644 |
Number Of Medicare Beneficiaries With Medical Services |
895 |
Total Medical Submitted Charge Amount |
1234905 |
Total Medical Medicare Allowed Amount |
802280.93 |
Total Medical Medicare Payment Amount |
628045.03 |
Total Medical Medicare Standardized Payment Amount |
582160.19 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
534 |
Number Of Male Beneficiaries |
361 |
Number Of Non Hispanic White Beneficiaries |
543 |
Number Of Black or African American Beneficiaries |
325 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
698 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0054 |