National Provider Identifier [NPI]: |
1609867852 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
LYNN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30335 W 13 MILE RD |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
FARMINGTON HILLS |
Zip Code Of The Provider |
483342262 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
7724 |
Number Of Medicare Beneficiaries |
1154 |
Total Submitted Charge Amount |
959030 |
Total Medicare Allowed Amount |
641196 |
Total Medicare Payment Amount |
478779.05 |
Total Medicare Standardized Payment Amount |
473554.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
640 |
Number Of Medicare Beneficiaries With Drug Services |
225 |
Total Drug Submitted ChargeAmount |
40370 |
Total Drug Medicare AllowedAmount |
27614.87 |
Total Drug Medicare PaymentAmount |
21889.15 |
Total Drug Medicare Standardized Payment Amount |
21889.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
7084 |
Number Of Medicare Beneficiaries With Medical Services |
1154 |
Total Medical Submitted Charge Amount |
918660 |
Total Medical Medicare Allowed Amount |
613581.13 |
Total Medical Medicare Payment Amount |
456889.9 |
Total Medical Medicare Standardized Payment Amount |
451664.99 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
393 |
Number Of Beneficiaries Age 75 to 84 |
395 |
Number Of Beneficiaries Age Greater 84 |
324 |
Number Of Female Beneficiaries |
580 |
Number Of Male Beneficiaries |
574 |
Number Of Non Hispanic White Beneficiaries |
1015 |
Number Of Black or African American Beneficiaries |
93 |
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 |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1060 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.404 |