National Provider Identifier [NPI]: |
1215927397 |
Last Name Of The Provider |
STRICKLER |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5333 MCAULEY DR |
Street Address 2 Of The Provider |
SUITE R2009 |
City Of The Provider |
YPSILANTI |
Zip Code Of The Provider |
481971014 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
5383 |
Number Of Medicare Beneficiaries |
479 |
Total Submitted Charge Amount |
371085 |
Total Medicare Allowed Amount |
187843.26 |
Total Medicare Payment Amount |
140648.89 |
Total Medicare Standardized Payment Amount |
137657.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3482 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
41010 |
Total Drug Medicare AllowedAmount |
23857.27 |
Total Drug Medicare PaymentAmount |
18585.99 |
Total Drug Medicare Standardized Payment Amount |
18585.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
1901 |
Number Of Medicare Beneficiaries With Medical Services |
479 |
Total Medical Submitted Charge Amount |
330075 |
Total Medical Medicare Allowed Amount |
163985.99 |
Total Medical Medicare Payment Amount |
122062.9 |
Total Medical Medicare Standardized Payment Amount |
119071.12 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
265 |
Number Of Male Beneficiaries |
214 |
Number Of Non Hispanic White Beneficiaries |
399 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
354 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
1.9153 |