National Provider Identifier [NPI]: |
1295797280 |
Last Name Of The Provider |
SILVERSTEIN |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 E MICHIGAN AVE |
Street Address 2 Of The Provider |
LOWER LEVEL |
City Of The Provider |
LANSING |
Zip Code Of The Provider |
489121800 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
5078 |
Number Of Medicare Beneficiaries |
577 |
Total Submitted Charge Amount |
1763271 |
Total Medicare Allowed Amount |
380974.12 |
Total Medicare Payment Amount |
291412.91 |
Total Medicare Standardized Payment Amount |
222344.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1312 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
5493.46 |
Total Drug Medicare AllowedAmount |
1309.2 |
Total Drug Medicare PaymentAmount |
1001.44 |
Total Drug Medicare Standardized Payment Amount |
1001.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
3766 |
Number Of Medicare Beneficiaries With Medical Services |
576 |
Total Medical Submitted Charge Amount |
1757777.54 |
Total Medical Medicare Allowed Amount |
379664.92 |
Total Medical Medicare Payment Amount |
290411.47 |
Total Medical Medicare Standardized Payment Amount |
221343.06 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
225 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
514 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
414 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.276 |