National Provider Identifier [NPI]: |
1306827951 |
Last Name Of The Provider |
NERET |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1809 MERLIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAY CITY |
Zip Code Of The Provider |
774143131 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
7142 |
Number Of Medicare Beneficiaries |
570 |
Total Submitted Charge Amount |
722885.01 |
Total Medicare Allowed Amount |
415911.13 |
Total Medicare Payment Amount |
300581.37 |
Total Medicare Standardized Payment Amount |
318213.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1061 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
9550.01 |
Total Drug Medicare AllowedAmount |
399.93 |
Total Drug Medicare PaymentAmount |
287.67 |
Total Drug Medicare Standardized Payment Amount |
287.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
6081 |
Number Of Medicare Beneficiaries With Medical Services |
570 |
Total Medical Submitted Charge Amount |
713335 |
Total Medical Medicare Allowed Amount |
415511.2 |
Total Medical Medicare Payment Amount |
300293.7 |
Total Medical Medicare Standardized Payment Amount |
317925.86 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
235 |
Number Of Non Hispanic White Beneficiaries |
339 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
145 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
306 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5202 |