National Provider Identifier [NPI]: |
1215975636 |
Last Name Of The Provider |
GUARNES |
First Name Of The Provider |
CECILLE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3875 BAY RD |
Street Address 2 Of The Provider |
SUITE 45 |
City Of The Provider |
SAGINAW |
Zip Code Of The Provider |
486032417 |
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 |
36 |
Number Of Services |
2636 |
Number Of Medicare Beneficiaries |
1070 |
Total Submitted Charge Amount |
193929 |
Total Medicare Allowed Amount |
138386.44 |
Total Medicare Payment Amount |
98592.32 |
Total Medicare Standardized Payment Amount |
103618.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
158 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
4678 |
Total Drug Medicare AllowedAmount |
3775.26 |
Total Drug Medicare PaymentAmount |
3675.69 |
Total Drug Medicare Standardized Payment Amount |
3675.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2478 |
Number Of Medicare Beneficiaries With Medical Services |
1070 |
Total Medical Submitted Charge Amount |
189251 |
Total Medical Medicare Allowed Amount |
134611.18 |
Total Medical Medicare Payment Amount |
94916.63 |
Total Medical Medicare Standardized Payment Amount |
99942.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
244 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
703 |
Number Of Male Beneficiaries |
367 |
Number Of Non Hispanic White Beneficiaries |
817 |
Number Of Black or African American Beneficiaries |
182 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
780 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
290 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0681 |