National Provider Identifier [NPI]: |
1831144179 |
Last Name Of The Provider |
RUTHRUFF |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 E WASHINGTON ST |
Street Address 2 Of The Provider |
STE 205 |
City Of The Provider |
IONIA |
Zip Code Of The Provider |
488462202 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
10 |
Number Of Services |
77 |
Number Of Medicare Beneficiaries |
41 |
Total Submitted Charge Amount |
6656 |
Total Medicare Allowed Amount |
5118.97 |
Total Medicare Payment Amount |
3746.41 |
Total Medicare Standardized Payment Amount |
4507.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
1950 |
Total Drug Medicare AllowedAmount |
1924.25 |
Total Drug Medicare PaymentAmount |
1885.69 |
Total Drug Medicare Standardized Payment Amount |
1885.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
52 |
Number Of Medicare Beneficiaries With Medical Services |
28 |
Total Medical Submitted Charge Amount |
4706 |
Total Medical Medicare Allowed Amount |
3194.72 |
Total Medical Medicare Payment Amount |
1860.72 |
Total Medical Medicare Standardized Payment Amount |
2622.13 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
27 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
22 |
Number Of Male Beneficiaries |
19 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
|
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
|
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7672 |