National Provider Identifier [NPI]: |
1194715276 |
Last Name Of The Provider |
ABRAMSON |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3140 W CAMPUS DR |
Street Address 2 Of The Provider |
SUITE 194 |
City Of The Provider |
BAY CITY |
Zip Code Of The Provider |
487062776 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
13620 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
560529.88 |
Total Medicare Allowed Amount |
415336.22 |
Total Medicare Payment Amount |
312254.2 |
Total Medicare Standardized Payment Amount |
316939.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
29 |
Number Of Drug Services |
11648 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
345380.13 |
Total Drug Medicare AllowedAmount |
243743.83 |
Total Drug Medicare PaymentAmount |
187157.94 |
Total Drug Medicare Standardized Payment Amount |
187157.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1972 |
Number Of Medicare Beneficiaries With Medical Services |
483 |
Total Medical Submitted Charge Amount |
215149.75 |
Total Medical Medicare Allowed Amount |
171592.39 |
Total Medical Medicare Payment Amount |
125096.26 |
Total Medical Medicare Standardized Payment Amount |
129781.8 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
172 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
213 |
Number Of Non Hispanic White Beneficiaries |
466 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
411 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8421 |