National Provider Identifier [NPI]: |
1942241393 |
Last Name Of The Provider |
PURZYCKI |
First Name Of The Provider |
ZBIGNIEW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2627 HOLBROOK |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMTRAMCK |
Zip Code Of The Provider |
48212 |
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 |
71 |
Number Of Services |
7673 |
Number Of Medicare Beneficiaries |
914 |
Total Submitted Charge Amount |
861943.75 |
Total Medicare Allowed Amount |
530600.89 |
Total Medicare Payment Amount |
390389.22 |
Total Medicare Standardized Payment Amount |
382451.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
729 |
Number Of Medicare Beneficiaries With Drug Services |
278 |
Total Drug Submitted ChargeAmount |
22702 |
Total Drug Medicare AllowedAmount |
8366.53 |
Total Drug Medicare PaymentAmount |
7599.27 |
Total Drug Medicare Standardized Payment Amount |
7599.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
6944 |
Number Of Medicare Beneficiaries With Medical Services |
914 |
Total Medical Submitted Charge Amount |
839241.75 |
Total Medical Medicare Allowed Amount |
522234.36 |
Total Medical Medicare Payment Amount |
382789.95 |
Total Medical Medicare Standardized Payment Amount |
374852.14 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
202 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
407 |
Number Of Non Hispanic White Beneficiaries |
661 |
Number Of Black or African American Beneficiaries |
201 |
Number Of AsianPacific Islander Beneficiaries |
26 |
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 |
543 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
371 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7296 |