Medicare Facts for Dr. Carl E. Palffy, MD


National Provider Identifier [NPI]: 1144228917
Last Name Of The Provider PALFFY
First Name Of The Provider CARL
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6620 HIGHLAND RD
Street Address 2 Of The Provider SUITE 101
City Of The Provider WATERFORD
Zip Code Of The Provider 483271682
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 91
Number Of Services 2147
Number Of Medicare Beneficiaries 323
Total Submitted Charge Amount 188044.25
Total Medicare Allowed Amount 144848.4
Total Medicare Payment Amount 104945.81
Total Medicare Standardized Payment Amount 104077.84
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 15
Number Of Drug Services 107
Number Of Medicare Beneficiaries With Drug Services 62
Total Drug Submitted ChargeAmount 2373.25
Total Drug Medicare AllowedAmount 1863.42
Total Drug Medicare PaymentAmount 1811.61
Total Drug Medicare Standardized Payment Amount 1811.61
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 76
Number Of Medical Services 2040
Number Of Medicare Beneficiaries With Medical Services 323
Total Medical Submitted Charge Amount 185671
Total Medical Medicare Allowed Amount 142984.98
Total Medical Medicare Payment Amount 103134.2
Total Medical Medicare Standardized Payment Amount 102266.23
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 96
Number Of Beneficiaries Age 65 to 74 120
Number Of Beneficiaries Age 75 to 84 68
Number Of Beneficiaries Age Greater 84 39
Number Of Female Beneficiaries 176
Number Of Male Beneficiaries 147
Number Of Non Hispanic White Beneficiaries 289
Number Of Black or African American Beneficiaries 16
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 247
Number Of Beneficiaries With Medicare Medicaid Entitlement 76
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 13
Percent Of With Cancer 8
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 31
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 48
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.5019

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