National Provider Identifier [NPI]: |
1710193354 |
Last Name Of The Provider |
KYRIACOU |
First Name Of The Provider |
MANOLIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28001 HARPER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAINT CLAIR SHORES |
Zip Code Of The Provider |
480811561 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
5153 |
Number Of Medicare Beneficiaries |
812 |
Total Submitted Charge Amount |
711500.01 |
Total Medicare Allowed Amount |
413601.12 |
Total Medicare Payment Amount |
309856.33 |
Total Medicare Standardized Payment Amount |
302343.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
5835 |
Total Drug Medicare AllowedAmount |
3199.65 |
Total Drug Medicare PaymentAmount |
2650.04 |
Total Drug Medicare Standardized Payment Amount |
2650.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
4917 |
Number Of Medicare Beneficiaries With Medical Services |
811 |
Total Medical Submitted Charge Amount |
705665.01 |
Total Medical Medicare Allowed Amount |
410401.47 |
Total Medical Medicare Payment Amount |
307206.29 |
Total Medical Medicare Standardized Payment Amount |
299693.85 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
526 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
661 |
Number Of Black or African American Beneficiaries |
129 |
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 |
426 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
386 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
49 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1933 |