National Provider Identifier [NPI]: |
1811958390 |
Last Name Of The Provider |
DELAUNAY |
First Name Of The Provider |
STEPHANE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5352 BECKLEY RD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
BATTLE CREEK |
Zip Code Of The Provider |
490154155 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
199 |
Number Of Services |
6573 |
Number Of Medicare Beneficiaries |
3701 |
Total Submitted Charge Amount |
801061 |
Total Medicare Allowed Amount |
195577.04 |
Total Medicare Payment Amount |
141719.09 |
Total Medicare Standardized Payment Amount |
147648.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
199 |
Number Of Medical Services |
6573 |
Number Of Medicare Beneficiaries With Medical Services |
3701 |
Total Medical Submitted Charge Amount |
801061 |
Total Medical Medicare Allowed Amount |
195577.04 |
Total Medical Medicare Payment Amount |
141719.09 |
Total Medical Medicare Standardized Payment Amount |
147648.66 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
873 |
Number Of Beneficiaries Age 65 to 74 |
1233 |
Number Of Beneficiaries Age 75 to 84 |
1011 |
Number Of Beneficiaries Age Greater 84 |
584 |
Number Of Female Beneficiaries |
2249 |
Number Of Male Beneficiaries |
1452 |
Number Of Non Hispanic White Beneficiaries |
3227 |
Number Of Black or African American Beneficiaries |
354 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2622 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1079 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7396 |