National Provider Identifier [NPI]: |
1306846282 |
Last Name Of The Provider |
BEAUDIN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
29959 COUNTY ROAD 481 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MC MILLAN |
Zip Code Of The Provider |
498539365 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
1165 |
Number Of Medicare Beneficiaries |
363 |
Total Submitted Charge Amount |
121782.41 |
Total Medicare Allowed Amount |
91057.12 |
Total Medicare Payment Amount |
71155.37 |
Total Medicare Standardized Payment Amount |
69700.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
19 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
242.97 |
Total Drug Medicare AllowedAmount |
205.28 |
Total Drug Medicare PaymentAmount |
194.48 |
Total Drug Medicare Standardized Payment Amount |
194.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
1146 |
Number Of Medicare Beneficiaries With Medical Services |
363 |
Total Medical Submitted Charge Amount |
121539.44 |
Total Medical Medicare Allowed Amount |
90851.84 |
Total Medical Medicare Payment Amount |
70960.89 |
Total Medical Medicare Standardized Payment Amount |
69506.15 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
230 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
131 |
Number Of Black or African American Beneficiaries |
188 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
135 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.0034 |