National Provider Identifier [NPI]: |
1891848966 |
Last Name Of The Provider |
BISCETTE |
First Name Of The Provider |
O'NEIL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2001 COOLIDGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST LANSING |
Zip Code Of The Provider |
488231378 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
17374 |
Number Of Medicare Beneficiaries |
1602 |
Total Submitted Charge Amount |
4949790 |
Total Medicare Allowed Amount |
2932651.16 |
Total Medicare Payment Amount |
2262432.8 |
Total Medicare Standardized Payment Amount |
2300540.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3202 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
1961180 |
Total Drug Medicare AllowedAmount |
1744139.55 |
Total Drug Medicare PaymentAmount |
1365668.84 |
Total Drug Medicare Standardized Payment Amount |
1365668.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
14172 |
Number Of Medicare Beneficiaries With Medical Services |
1602 |
Total Medical Submitted Charge Amount |
2988610 |
Total Medical Medicare Allowed Amount |
1188511.61 |
Total Medical Medicare Payment Amount |
896763.96 |
Total Medical Medicare Standardized Payment Amount |
934871.45 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
588 |
Number Of Beneficiaries Age 75 to 84 |
495 |
Number Of Beneficiaries Age Greater 84 |
380 |
Number Of Female Beneficiaries |
930 |
Number Of Male Beneficiaries |
672 |
Number Of Non Hispanic White Beneficiaries |
1426 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1432 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3964 |