National Provider Identifier [NPI]: |
1619935152 |
Last Name Of The Provider |
FINAZZO |
First Name Of The Provider |
JOSEPHINE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24285 KARIM BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NOVI |
Zip Code Of The Provider |
483752952 |
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 |
162 |
Number Of Services |
16595 |
Number Of Medicare Beneficiaries |
1701 |
Total Submitted Charge Amount |
676930.5 |
Total Medicare Allowed Amount |
295043.57 |
Total Medicare Payment Amount |
240732.75 |
Total Medicare Standardized Payment Amount |
239121.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
13196 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
19892.5 |
Total Drug Medicare AllowedAmount |
2538.89 |
Total Drug Medicare PaymentAmount |
1990.51 |
Total Drug Medicare Standardized Payment Amount |
1990.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
160 |
Number Of Medical Services |
3399 |
Number Of Medicare Beneficiaries With Medical Services |
1701 |
Total Medical Submitted Charge Amount |
657038 |
Total Medical Medicare Allowed Amount |
292504.68 |
Total Medical Medicare Payment Amount |
238742.24 |
Total Medical Medicare Standardized Payment Amount |
237130.97 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
292 |
Number Of Beneficiaries Age 65 to 74 |
766 |
Number Of Beneficiaries Age 75 to 84 |
436 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
1237 |
Number Of Male Beneficiaries |
464 |
Number Of Non Hispanic White Beneficiaries |
1434 |
Number Of Black or African American Beneficiaries |
166 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1398 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
303 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4275 |