National Provider Identifier [NPI]: |
1023106507 |
Last Name Of The Provider |
MORREALE |
First Name Of The Provider |
VITTORIO |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
50505 SCHOENHERR RD |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
SHELBY TWP |
Zip Code Of The Provider |
483153140 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurosurgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
3939 |
Number Of Medicare Beneficiaries |
635 |
Total Submitted Charge Amount |
3130161 |
Total Medicare Allowed Amount |
983035.19 |
Total Medicare Payment Amount |
757261.66 |
Total Medicare Standardized Payment Amount |
648873.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
197 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
2955 |
Total Drug Medicare AllowedAmount |
348.26 |
Total Drug Medicare PaymentAmount |
267.71 |
Total Drug Medicare Standardized Payment Amount |
267.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
3742 |
Number Of Medicare Beneficiaries With Medical Services |
635 |
Total Medical Submitted Charge Amount |
3127206 |
Total Medical Medicare Allowed Amount |
982686.93 |
Total Medical Medicare Payment Amount |
756993.95 |
Total Medical Medicare Standardized Payment Amount |
648605.39 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
370 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
580 |
Number Of Black or African American Beneficiaries |
35 |
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 |
519 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.7344 |