National Provider Identifier [NPI]: |
1265477384 |
Last Name Of The Provider |
SHIER |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1234 NAPIER AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST JOSEPH |
Zip Code Of The Provider |
49085 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
175 |
Number Of Services |
5211 |
Number Of Medicare Beneficiaries |
3184 |
Total Submitted Charge Amount |
593759 |
Total Medicare Allowed Amount |
177154.47 |
Total Medicare Payment Amount |
134923.06 |
Total Medicare Standardized Payment Amount |
139927.4 |
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 |
175 |
Number Of Medical Services |
5211 |
Number Of Medicare Beneficiaries With Medical Services |
3184 |
Total Medical Submitted Charge Amount |
593759 |
Total Medical Medicare Allowed Amount |
177154.47 |
Total Medical Medicare Payment Amount |
134923.06 |
Total Medical Medicare Standardized Payment Amount |
139927.4 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
704 |
Number Of Beneficiaries Age 65 to 74 |
1105 |
Number Of Beneficiaries Age 75 to 84 |
868 |
Number Of Beneficiaries Age Greater 84 |
507 |
Number Of Female Beneficiaries |
2050 |
Number Of Male Beneficiaries |
1134 |
Number Of Non Hispanic White Beneficiaries |
2532 |
Number Of Black or African American Beneficiaries |
555 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
16 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2196 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
988 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5417 |