National Provider Identifier [NPI]: |
1710969639 |
Last Name Of The Provider |
ATASSI |
First Name Of The Provider |
RACHEED |
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 |
241 N MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROMEO |
Zip Code Of The Provider |
480654619 |
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 |
52 |
Number Of Services |
5808 |
Number Of Medicare Beneficiaries |
676 |
Total Submitted Charge Amount |
658082.5 |
Total Medicare Allowed Amount |
512969.52 |
Total Medicare Payment Amount |
399072.08 |
Total Medicare Standardized Payment Amount |
386949.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
1251 |
Total Drug Medicare AllowedAmount |
707.35 |
Total Drug Medicare PaymentAmount |
689 |
Total Drug Medicare Standardized Payment Amount |
689 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
5755 |
Number Of Medicare Beneficiaries With Medical Services |
676 |
Total Medical Submitted Charge Amount |
656831.5 |
Total Medical Medicare Allowed Amount |
512262.17 |
Total Medical Medicare Payment Amount |
398383.08 |
Total Medical Medicare Standardized Payment Amount |
386260.65 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
223 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
331 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
361 |
Number Of Black or African American Beneficiaries |
300 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
323 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
74 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
3.8678 |