National Provider Identifier [NPI]: |
1316918006 |
Last Name Of The Provider |
ROBINSON |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1040 S VAN DYKE RD |
Street Address 2 Of The Provider |
STE 3 |
City Of The Provider |
BAD AXE |
Zip Code Of The Provider |
48413 |
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 |
38 |
Number Of Services |
6701 |
Number Of Medicare Beneficiaries |
2272 |
Total Submitted Charge Amount |
2233865 |
Total Medicare Allowed Amount |
829550.86 |
Total Medicare Payment Amount |
590485.13 |
Total Medicare Standardized Payment Amount |
624826.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
6701 |
Number Of Medicare Beneficiaries With Medical Services |
2272 |
Total Medical Submitted Charge Amount |
2233865 |
Total Medical Medicare Allowed Amount |
829550.86 |
Total Medical Medicare Payment Amount |
590485.13 |
Total Medical Medicare Standardized Payment Amount |
624826.69 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
759 |
Number Of Beneficiaries Age 75 to 84 |
927 |
Number Of Beneficiaries Age Greater 84 |
465 |
Number Of Female Beneficiaries |
1423 |
Number Of Male Beneficiaries |
849 |
Number Of Non Hispanic White Beneficiaries |
2226 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2004 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1139 |