National Provider Identifier [NPI]: |
1396894986 |
Last Name Of The Provider |
TARAU |
First Name Of The Provider |
GABRIELA |
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 |
1500 EAST MEDICAL CENTER DR |
Street Address 2 Of The Provider |
B1 FLOOR UNIVERSITY HOSPITAL RECP C |
City Of The Provider |
ANN ARBOR |
Zip Code Of The Provider |
481090030 |
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 |
174 |
Number Of Services |
23471 |
Number Of Medicare Beneficiaries |
3581 |
Total Submitted Charge Amount |
1536531.6 |
Total Medicare Allowed Amount |
326642.7 |
Total Medicare Payment Amount |
246586.43 |
Total Medicare Standardized Payment Amount |
239792.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
18386 |
Number Of Medicare Beneficiaries With Drug Services |
230 |
Total Drug Submitted ChargeAmount |
19110 |
Total Drug Medicare AllowedAmount |
4480.9 |
Total Drug Medicare PaymentAmount |
3483.21 |
Total Drug Medicare Standardized Payment Amount |
3483.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
167 |
Number Of Medical Services |
5085 |
Number Of Medicare Beneficiaries With Medical Services |
3580 |
Total Medical Submitted Charge Amount |
1517421.6 |
Total Medical Medicare Allowed Amount |
322161.8 |
Total Medical Medicare Payment Amount |
243103.22 |
Total Medical Medicare Standardized Payment Amount |
236309.77 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
703 |
Number Of Beneficiaries Age 65 to 74 |
1305 |
Number Of Beneficiaries Age 75 to 84 |
1016 |
Number Of Beneficiaries Age Greater 84 |
557 |
Number Of Female Beneficiaries |
1997 |
Number Of Male Beneficiaries |
1584 |
Number Of Non Hispanic White Beneficiaries |
1980 |
Number Of Black or African American Beneficiaries |
234 |
Number Of AsianPacific Islander Beneficiaries |
257 |
Number Of Hispanic Beneficiaries |
1043 |
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
1875 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1706 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9783 |