National Provider Identifier [NPI]: |
1033124920 |
Last Name Of The Provider |
JANNERS |
First Name Of The Provider |
SIGURDS |
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 |
920 W WATER ST |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
HANCOCK |
Zip Code Of The Provider |
499301949 |
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 |
124 |
Number Of Services |
5955 |
Number Of Medicare Beneficiaries |
504 |
Total Submitted Charge Amount |
792552.44 |
Total Medicare Allowed Amount |
408592.03 |
Total Medicare Payment Amount |
296365.43 |
Total Medicare Standardized Payment Amount |
308914.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
890 |
Number Of Medicare Beneficiaries With Drug Services |
262 |
Total Drug Submitted ChargeAmount |
44428.44 |
Total Drug Medicare AllowedAmount |
31911.28 |
Total Drug Medicare PaymentAmount |
25559.53 |
Total Drug Medicare Standardized Payment Amount |
25559.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
5065 |
Number Of Medicare Beneficiaries With Medical Services |
504 |
Total Medical Submitted Charge Amount |
748124 |
Total Medical Medicare Allowed Amount |
376680.75 |
Total Medical Medicare Payment Amount |
270805.9 |
Total Medical Medicare Standardized Payment Amount |
283354.96 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
268 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
486 |
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 |
414 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2463 |