National Provider Identifier [NPI]: |
1457464273 |
Last Name Of The Provider |
BEST |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4000 HIGHLAND |
Street Address 2 Of The Provider |
# 107 |
City Of The Provider |
WATERFORD |
Zip Code Of The Provider |
483282163 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1910 |
Number Of Medicare Beneficiaries |
550 |
Total Submitted Charge Amount |
272553 |
Total Medicare Allowed Amount |
151716.29 |
Total Medicare Payment Amount |
111088.24 |
Total Medicare Standardized Payment Amount |
104822.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
169 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
4870 |
Total Drug Medicare AllowedAmount |
29.01 |
Total Drug Medicare PaymentAmount |
22.05 |
Total Drug Medicare Standardized Payment Amount |
22.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1741 |
Number Of Medicare Beneficiaries With Medical Services |
550 |
Total Medical Submitted Charge Amount |
267683 |
Total Medical Medicare Allowed Amount |
151687.28 |
Total Medical Medicare Payment Amount |
111066.19 |
Total Medical Medicare Standardized Payment Amount |
104800.65 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
377 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
462 |
Number Of Black or African American Beneficiaries |
66 |
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 |
407 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.8105 |