National Provider Identifier [NPI]: |
1790760569 |
Last Name Of The Provider |
ORZECHOWSKI |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11446 E 13 MILE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WARREN |
Zip Code Of The Provider |
480936571 |
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 |
45 |
Number Of Services |
2847 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
271289 |
Total Medicare Allowed Amount |
242631.78 |
Total Medicare Payment Amount |
179684.1 |
Total Medicare Standardized Payment Amount |
174953.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
758 |
Total Drug Medicare AllowedAmount |
529.47 |
Total Drug Medicare PaymentAmount |
500.39 |
Total Drug Medicare Standardized Payment Amount |
500.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2795 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
270531 |
Total Medical Medicare Allowed Amount |
242102.31 |
Total Medical Medicare Payment Amount |
179183.71 |
Total Medical Medicare Standardized Payment Amount |
174453.52 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
312 |
Number Of Male Beneficiaries |
251 |
Number Of Non Hispanic White Beneficiaries |
532 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
415 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
148 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.644 |