National Provider Identifier [NPI]: |
1033293659 |
Last Name Of The Provider |
ADLER |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 GENOA BUSINESS PARK DR |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
BRIGHTON |
Zip Code Of The Provider |
481147367 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1898 |
Number Of Medicare Beneficiaries |
316 |
Total Submitted Charge Amount |
132912 |
Total Medicare Allowed Amount |
69865.94 |
Total Medicare Payment Amount |
47936.23 |
Total Medicare Standardized Payment Amount |
60017.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
54 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
579 |
Total Drug Medicare AllowedAmount |
269.52 |
Total Drug Medicare PaymentAmount |
208.54 |
Total Drug Medicare Standardized Payment Amount |
208.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1844 |
Number Of Medicare Beneficiaries With Medical Services |
316 |
Total Medical Submitted Charge Amount |
132333 |
Total Medical Medicare Allowed Amount |
69596.42 |
Total Medical Medicare Payment Amount |
47727.69 |
Total Medical Medicare Standardized Payment Amount |
59809.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
152 |
Number Of Male Beneficiaries |
164 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.947 |