National Provider Identifier [NPI]: |
1306808175 |
Last Name Of The Provider |
DEGREGORIO |
First Name Of The Provider |
MICHELE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
42557 WOODWARD AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BLOOMFIELD HILLS |
Zip Code Of The Provider |
483045206 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
11628 |
Number Of Medicare Beneficiaries |
2211 |
Total Submitted Charge Amount |
2383341 |
Total Medicare Allowed Amount |
1357496.79 |
Total Medicare Payment Amount |
1035036.78 |
Total Medicare Standardized Payment Amount |
1009642.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1962 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
49753 |
Total Drug Medicare AllowedAmount |
40812.45 |
Total Drug Medicare PaymentAmount |
31996.82 |
Total Drug Medicare Standardized Payment Amount |
31996.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
9666 |
Number Of Medicare Beneficiaries With Medical Services |
2210 |
Total Medical Submitted Charge Amount |
2333588 |
Total Medical Medicare Allowed Amount |
1316684.34 |
Total Medical Medicare Payment Amount |
1003039.96 |
Total Medical Medicare Standardized Payment Amount |
977645.42 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
294 |
Number Of Beneficiaries Age 65 to 74 |
845 |
Number Of Beneficiaries Age 75 to 84 |
703 |
Number Of Beneficiaries Age Greater 84 |
369 |
Number Of Female Beneficiaries |
1100 |
Number Of Male Beneficiaries |
1111 |
Number Of Non Hispanic White Beneficiaries |
1824 |
Number Of Black or African American Beneficiaries |
285 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1876 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9566 |