National Provider Identifier [NPI]: |
1801969472 |
Last Name Of The Provider |
REGALADO |
First Name Of The Provider |
LUNINGNING |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4020 VENOY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WAYNE |
Zip Code Of The Provider |
481841869 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
2841 |
Number Of Medicare Beneficiaries |
475 |
Total Submitted Charge Amount |
235831.5 |
Total Medicare Allowed Amount |
195970.88 |
Total Medicare Payment Amount |
138321.97 |
Total Medicare Standardized Payment Amount |
137220.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
308 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
3221.5 |
Total Drug Medicare AllowedAmount |
2433.11 |
Total Drug Medicare PaymentAmount |
2375.02 |
Total Drug Medicare Standardized Payment Amount |
2375.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2533 |
Number Of Medicare Beneficiaries With Medical Services |
475 |
Total Medical Submitted Charge Amount |
232610 |
Total Medical Medicare Allowed Amount |
193537.77 |
Total Medical Medicare Payment Amount |
135946.95 |
Total Medical Medicare Standardized Payment Amount |
134845.15 |
Average Age Of Beneficiaries |
59 |
Number Of Beneficiaries Age Less65 |
314 |
Number Of Beneficiaries Age 65 to 74 |
91 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
249 |
Number Of Black or African American Beneficiaries |
196 |
Number Of AsianPacific Islander Beneficiaries |
11 |
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 |
89 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
386 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
46 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4193 |