National Provider Identifier [NPI]: |
1720075229 |
Last Name Of The Provider |
HAFFORD |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 BORTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ESSEXVILLE |
Zip Code Of The Provider |
487323110 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
3782 |
Number Of Medicare Beneficiaries |
678 |
Total Submitted Charge Amount |
297598 |
Total Medicare Allowed Amount |
226519.49 |
Total Medicare Payment Amount |
161942.69 |
Total Medicare Standardized Payment Amount |
167577.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
339 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
10385 |
Total Drug Medicare AllowedAmount |
7431.94 |
Total Drug Medicare PaymentAmount |
7211.09 |
Total Drug Medicare Standardized Payment Amount |
7211.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
3443 |
Number Of Medicare Beneficiaries With Medical Services |
678 |
Total Medical Submitted Charge Amount |
287213 |
Total Medical Medicare Allowed Amount |
219087.55 |
Total Medical Medicare Payment Amount |
154731.6 |
Total Medical Medicare Standardized Payment Amount |
160366.51 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
398 |
Number Of Male Beneficiaries |
280 |
Number Of Non Hispanic White Beneficiaries |
654 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
515 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3389 |