National Provider Identifier [NPI]: |
1528085040 |
Last Name Of The Provider |
REUSCH |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
PA C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4285 PARKWAY PLACE SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRANDVILLE |
Zip Code Of The Provider |
494182385 |
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 |
46 |
Number Of Services |
3189 |
Number Of Medicare Beneficiaries |
621 |
Total Submitted Charge Amount |
242721 |
Total Medicare Allowed Amount |
128752.91 |
Total Medicare Payment Amount |
90079.39 |
Total Medicare Standardized Payment Amount |
109022.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
87 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
7475 |
Total Drug Medicare AllowedAmount |
6016.83 |
Total Drug Medicare PaymentAmount |
4668.95 |
Total Drug Medicare Standardized Payment Amount |
4668.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3102 |
Number Of Medicare Beneficiaries With Medical Services |
621 |
Total Medical Submitted Charge Amount |
235246 |
Total Medical Medicare Allowed Amount |
122736.08 |
Total Medical Medicare Payment Amount |
85410.44 |
Total Medical Medicare Standardized Payment Amount |
104353.88 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
281 |
Number Of Male Beneficiaries |
340 |
Number Of Non Hispanic White Beneficiaries |
602 |
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 |
577 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0013 |