National Provider Identifier [NPI]: |
1942290507 |
Last Name Of The Provider |
SCAPINI |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
755 W BIG BEAVER RD |
Street Address 2 Of The Provider |
SUITE 231 |
City Of The Provider |
TROY |
Zip Code Of The Provider |
480844900 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
2159 |
Number Of Medicare Beneficiaries |
439 |
Total Submitted Charge Amount |
196138 |
Total Medicare Allowed Amount |
143770.72 |
Total Medicare Payment Amount |
103093.78 |
Total Medicare Standardized Payment Amount |
101162.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
174 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
4364 |
Total Drug Medicare AllowedAmount |
3025.1 |
Total Drug Medicare PaymentAmount |
2954.27 |
Total Drug Medicare Standardized Payment Amount |
2954.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1985 |
Number Of Medicare Beneficiaries With Medical Services |
439 |
Total Medical Submitted Charge Amount |
191774 |
Total Medical Medicare Allowed Amount |
140745.62 |
Total Medical Medicare Payment Amount |
100139.51 |
Total Medical Medicare Standardized Payment Amount |
98207.79 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
209 |
Number Of Male Beneficiaries |
230 |
Number Of Non Hispanic White Beneficiaries |
390 |
Number Of Black or African American Beneficiaries |
38 |
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 |
403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
20 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0836 |