National Provider Identifier [NPI]: |
1609903988 |
Last Name Of The Provider |
OPRISIU |
First Name Of The Provider |
CORNELIUS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 WILLIAM CARLS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COMMERCE TOWNSHIP |
Zip Code Of The Provider |
483822201 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
3694 |
Number Of Medicare Beneficiaries |
555 |
Total Submitted Charge Amount |
565870 |
Total Medicare Allowed Amount |
324967.81 |
Total Medicare Payment Amount |
249123.23 |
Total Medicare Standardized Payment Amount |
245949.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
135 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
3735 |
Total Drug Medicare AllowedAmount |
1780.54 |
Total Drug Medicare PaymentAmount |
1721.4 |
Total Drug Medicare Standardized Payment Amount |
1721.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
3559 |
Number Of Medicare Beneficiaries With Medical Services |
555 |
Total Medical Submitted Charge Amount |
562135 |
Total Medical Medicare Allowed Amount |
323187.27 |
Total Medical Medicare Payment Amount |
247401.83 |
Total Medical Medicare Standardized Payment Amount |
244227.7 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
303 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
246 |
Number Of Non Hispanic White Beneficiaries |
120 |
Number Of Black or African American Beneficiaries |
401 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
163 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
392 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
29 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8384 |