National Provider Identifier [NPI]: |
1437302643 |
Last Name Of The Provider |
MORLEY |
First Name Of The Provider |
KIMBERLY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5301 E HURON RIVER DR |
Street Address 2 Of The Provider |
C139 |
City Of The Provider |
YPSILANTI |
Zip Code Of The Provider |
481971051 |
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 |
53 |
Number Of Services |
3231 |
Number Of Medicare Beneficiaries |
392 |
Total Submitted Charge Amount |
158959 |
Total Medicare Allowed Amount |
99498.38 |
Total Medicare Payment Amount |
75934.51 |
Total Medicare Standardized Payment Amount |
78420.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
2309 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
40865 |
Total Drug Medicare AllowedAmount |
27310.25 |
Total Drug Medicare PaymentAmount |
21414.76 |
Total Drug Medicare Standardized Payment Amount |
21414.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
922 |
Number Of Medicare Beneficiaries With Medical Services |
392 |
Total Medical Submitted Charge Amount |
118094 |
Total Medical Medicare Allowed Amount |
72188.13 |
Total Medical Medicare Payment Amount |
54519.75 |
Total Medical Medicare Standardized Payment Amount |
57006.22 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
240 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
372 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
319 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.8009 |