National Provider Identifier [NPI]: |
1760492011 |
Last Name Of The Provider |
BARNETT |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28050 GRAND RIVER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FARMINGTON HILLS |
Zip Code Of The Provider |
483365919 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Geriatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
12197 |
Number Of Medicare Beneficiaries |
1695 |
Total Submitted Charge Amount |
1561694 |
Total Medicare Allowed Amount |
864909.93 |
Total Medicare Payment Amount |
651509.48 |
Total Medicare Standardized Payment Amount |
637567.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
799 |
Number Of Medicare Beneficiaries With Drug Services |
223 |
Total Drug Submitted ChargeAmount |
20695 |
Total Drug Medicare AllowedAmount |
11104.72 |
Total Drug Medicare PaymentAmount |
9393.74 |
Total Drug Medicare Standardized Payment Amount |
9393.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
11398 |
Number Of Medicare Beneficiaries With Medical Services |
1694 |
Total Medical Submitted Charge Amount |
1540999 |
Total Medical Medicare Allowed Amount |
853805.21 |
Total Medical Medicare Payment Amount |
642115.74 |
Total Medical Medicare Standardized Payment Amount |
628174.12 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
427 |
Number Of Beneficiaries Age 65 to 74 |
461 |
Number Of Beneficiaries Age 75 to 84 |
364 |
Number Of Beneficiaries Age Greater 84 |
443 |
Number Of Female Beneficiaries |
1033 |
Number Of Male Beneficiaries |
662 |
Number Of Non Hispanic White Beneficiaries |
1273 |
Number Of Black or African American Beneficiaries |
377 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
916 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
779 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3131 |