National Provider Identifier [NPI]: |
1720016215 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
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 |
48 |
Number Of Services |
13403 |
Number Of Medicare Beneficiaries |
1397 |
Total Submitted Charge Amount |
4099510.71 |
Total Medicare Allowed Amount |
2006552.85 |
Total Medicare Payment Amount |
1546471.21 |
Total Medicare Standardized Payment Amount |
1528567.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3813 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
1152690.71 |
Total Drug Medicare AllowedAmount |
996401.75 |
Total Drug Medicare PaymentAmount |
780195.13 |
Total Drug Medicare Standardized Payment Amount |
780195.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
9590 |
Number Of Medicare Beneficiaries With Medical Services |
1397 |
Total Medical Submitted Charge Amount |
2946820 |
Total Medical Medicare Allowed Amount |
1010151.1 |
Total Medical Medicare Payment Amount |
766276.08 |
Total Medical Medicare Standardized Payment Amount |
748372.7 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
540 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
796 |
Number Of Male Beneficiaries |
601 |
Number Of Non Hispanic White Beneficiaries |
1096 |
Number Of Black or African American Beneficiaries |
253 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
8 |
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 |
1.5558 |