National Provider Identifier [NPI]: |
1639177769 |
Last Name Of The Provider |
STRAHAN |
First Name Of The Provider |
MICHAEL |
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 |
1333 W 5TH ST |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
SHERIDAN |
Zip Code Of The Provider |
828012752 |
State Code Of The Provider |
WY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
6637 |
Number Of Medicare Beneficiaries |
871 |
Total Submitted Charge Amount |
634987.4 |
Total Medicare Allowed Amount |
361279.69 |
Total Medicare Payment Amount |
260296.54 |
Total Medicare Standardized Payment Amount |
259330.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
2266 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
36816.4 |
Total Drug Medicare AllowedAmount |
26163.69 |
Total Drug Medicare PaymentAmount |
20132.64 |
Total Drug Medicare Standardized Payment Amount |
20132.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4371 |
Number Of Medicare Beneficiaries With Medical Services |
871 |
Total Medical Submitted Charge Amount |
598171 |
Total Medical Medicare Allowed Amount |
335116 |
Total Medical Medicare Payment Amount |
240163.9 |
Total Medical Medicare Standardized Payment Amount |
239197.42 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
330 |
Number Of Beneficiaries Age 75 to 84 |
259 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
478 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
840 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
660 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1575 |