National Provider Identifier [NPI]: |
1427087873 |
Last Name Of The Provider |
LEVIN |
First Name Of The Provider |
DARRIN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
29201 TELEGRAPH RD |
Street Address 2 Of The Provider |
SUITE 606 |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480341331 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
13261 |
Number Of Medicare Beneficiaries |
1518 |
Total Submitted Charge Amount |
4527927.75 |
Total Medicare Allowed Amount |
2338250.93 |
Total Medicare Payment Amount |
1799496.75 |
Total Medicare Standardized Payment Amount |
1781795.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3416 |
Number Of Medicare Beneficiaries With Drug Services |
191 |
Total Drug Submitted ChargeAmount |
1243888.75 |
Total Drug Medicare AllowedAmount |
1106467.18 |
Total Drug Medicare PaymentAmount |
866854.85 |
Total Drug Medicare Standardized Payment Amount |
866854.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
9845 |
Number Of Medicare Beneficiaries With Medical Services |
1518 |
Total Medical Submitted Charge Amount |
3284039 |
Total Medical Medicare Allowed Amount |
1231783.75 |
Total Medical Medicare Payment Amount |
932641.9 |
Total Medical Medicare Standardized Payment Amount |
914940.17 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
589 |
Number Of Beneficiaries Age 75 to 84 |
467 |
Number Of Beneficiaries Age Greater 84 |
342 |
Number Of Female Beneficiaries |
895 |
Number Of Male Beneficiaries |
623 |
Number Of Non Hispanic White Beneficiaries |
1203 |
Number Of Black or African American Beneficiaries |
232 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
1365 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5793 |