National Provider Identifier [NPI]: |
1033311972 |
Last Name Of The Provider |
SOLIMAN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
840 OAKWOOD BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DEARBORN |
Zip Code Of The Provider |
481242319 |
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 |
185 |
Number Of Services |
6720 |
Number Of Medicare Beneficiaries |
4794 |
Total Submitted Charge Amount |
515080 |
Total Medicare Allowed Amount |
191486.88 |
Total Medicare Payment Amount |
143947.99 |
Total Medicare Standardized Payment Amount |
143335.15 |
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 |
185 |
Number Of Medical Services |
6720 |
Number Of Medicare Beneficiaries With Medical Services |
4794 |
Total Medical Submitted Charge Amount |
515080 |
Total Medical Medicare Allowed Amount |
191486.88 |
Total Medical Medicare Payment Amount |
143947.99 |
Total Medical Medicare Standardized Payment Amount |
143335.15 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
1333 |
Number Of Beneficiaries Age 65 to 74 |
1584 |
Number Of Beneficiaries Age 75 to 84 |
1146 |
Number Of Beneficiaries Age Greater 84 |
731 |
Number Of Female Beneficiaries |
2983 |
Number Of Male Beneficiaries |
1811 |
Number Of Non Hispanic White Beneficiaries |
3825 |
Number Of Black or African American Beneficiaries |
667 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
171 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
74 |
Number Of Beneficiaries With Medicare Only Entitlement |
3117 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1677 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0966 |