National Provider Identifier [NPI]: |
1467461855 |
Last Name Of The Provider |
ZAPATA |
First Name Of The Provider |
ALEJANDRO |
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 |
5528 METROPOLITAN PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
STERLING HEIGHTS |
Zip Code Of The Provider |
483104105 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1789 |
Number Of Medicare Beneficiaries |
241 |
Total Submitted Charge Amount |
149200.01 |
Total Medicare Allowed Amount |
93214.73 |
Total Medicare Payment Amount |
66357.6 |
Total Medicare Standardized Payment Amount |
65140.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
620 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
4553.92 |
Total Drug Medicare AllowedAmount |
4477.59 |
Total Drug Medicare PaymentAmount |
3042.42 |
Total Drug Medicare Standardized Payment Amount |
3042.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
1169 |
Number Of Medicare Beneficiaries With Medical Services |
241 |
Total Medical Submitted Charge Amount |
144646.09 |
Total Medical Medicare Allowed Amount |
88737.14 |
Total Medical Medicare Payment Amount |
63315.18 |
Total Medical Medicare Standardized Payment Amount |
62098.35 |
Average Age Of Beneficiaries |
52 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
44 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
122 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
203 |
Number Of Black or African American Beneficiaries |
20 |
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 |
80 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
6 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
69 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
38 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1879 |