| National Provider Identifier [NPI]: | 1619967197 |
| Last Name Of The Provider | SIEGEL |
| First Name Of The Provider | BARRY |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 200 DIVERSION ST STE 150 |
| Street Address 2 Of The Provider | |
| City Of The Provider | ROCHESTER HILLS |
| Zip Code Of The Provider | 483072245 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Psychiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 26 |
| Number Of Services | 4315 |
| Number Of Medicare Beneficiaries | 2533 |
| Total Submitted Charge Amount | 699898.22 |
| Total Medicare Allowed Amount | 434186.09 |
| Total Medicare Payment Amount | 324519.81 |
| Total Medicare Standardized Payment Amount | 337936.87 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 26 |
| Number Of Medical Services | 4315 |
| Number Of Medicare Beneficiaries With Medical Services | 2533 |
| Total Medical Submitted Charge Amount | 699898.22 |
| Total Medical Medicare Allowed Amount | 434186.09 |
| Total Medical Medicare Payment Amount | 324519.81 |
| Total Medical Medicare Standardized Payment Amount | 337936.87 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 506 |
| Number Of Beneficiaries Age 65 to 74 | 518 |
| Number Of Beneficiaries Age 75 to 84 | 677 |
| Number Of Beneficiaries Age Greater 84 | 832 |
| Number Of Female Beneficiaries | 1589 |
| Number Of Male Beneficiaries | 944 |
| Number Of Non Hispanic White Beneficiaries | 1854 |
| Number Of Black or African American Beneficiaries | 609 |
| Number Of AsianPacific Islander Beneficiaries | 19 |
| Number Of Hispanic Beneficiaries | 30 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1035 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1498 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 71 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 52 |
| Percent Of With Chronic Kidney Disease | 54 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 38 |
| Percent Of With Depression | 69 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 63 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 33 |
| Percent Of With Stroke | 23 |
| Average HCC Risk Score Of Beneficiaries | 2.5258 |