National Provider Identifier [NPI]: |
1538158688 |
Last Name Of The Provider |
ROBENS |
First Name Of The Provider |
CORNELIUS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3537 W FRONT ST STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
TRAVERSE CITY |
Zip Code Of The Provider |
496847942 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
7975 |
Number Of Medicare Beneficiaries |
597 |
Total Submitted Charge Amount |
257091 |
Total Medicare Allowed Amount |
191772.29 |
Total Medicare Payment Amount |
137834.23 |
Total Medicare Standardized Payment Amount |
143582.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
6675 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
46725 |
Total Drug Medicare AllowedAmount |
36764.93 |
Total Drug Medicare PaymentAmount |
27701.67 |
Total Drug Medicare Standardized Payment Amount |
27701.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1300 |
Number Of Medicare Beneficiaries With Medical Services |
597 |
Total Medical Submitted Charge Amount |
210366 |
Total Medical Medicare Allowed Amount |
155007.36 |
Total Medical Medicare Payment Amount |
110132.56 |
Total Medical Medicare Standardized Payment Amount |
115880.53 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
174 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
295 |
Number Of Non Hispanic White Beneficiaries |
575 |
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 |
415 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
182 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.5162 |