National Provider Identifier [NPI]: |
1063447373 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
MADELINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1261 S LAPEER ROAD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
LAKE ORION |
Zip Code Of The Provider |
48360 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3130 |
Number Of Medicare Beneficiaries |
422 |
Total Submitted Charge Amount |
191107.5 |
Total Medicare Allowed Amount |
149702.6 |
Total Medicare Payment Amount |
105438.19 |
Total Medicare Standardized Payment Amount |
100386.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
103 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
337.5 |
Total Drug Medicare AllowedAmount |
183.48 |
Total Drug Medicare PaymentAmount |
128.12 |
Total Drug Medicare Standardized Payment Amount |
128.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3027 |
Number Of Medicare Beneficiaries With Medical Services |
422 |
Total Medical Submitted Charge Amount |
190770 |
Total Medical Medicare Allowed Amount |
149519.12 |
Total Medical Medicare Payment Amount |
105310.07 |
Total Medical Medicare Standardized Payment Amount |
100258.13 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
410 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
384 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0535 |