National Provider Identifier [NPI]: |
1144372004 |
Last Name Of The Provider |
HOWARD |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44344 DEQUINDRE RD |
Street Address 2 Of The Provider |
SUITE 260 |
City Of The Provider |
STERLING HEIGHTS |
Zip Code Of The Provider |
483141038 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
137272 |
Number Of Medicare Beneficiaries |
796 |
Total Submitted Charge Amount |
4812176.5 |
Total Medicare Allowed Amount |
2572347.96 |
Total Medicare Payment Amount |
1989505.86 |
Total Medicare Standardized Payment Amount |
1965723.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
50 |
Number Of Drug Services |
126990 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
3651814.5 |
Total Drug Medicare AllowedAmount |
2007855.34 |
Total Drug Medicare PaymentAmount |
1559395 |
Total Drug Medicare Standardized Payment Amount |
1559395 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
10282 |
Number Of Medicare Beneficiaries With Medical Services |
796 |
Total Medical Submitted Charge Amount |
1160362 |
Total Medical Medicare Allowed Amount |
564492.62 |
Total Medical Medicare Payment Amount |
430110.86 |
Total Medical Medicare Standardized Payment Amount |
406328.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
334 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
441 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
721 |
Number Of Black or African American Beneficiaries |
27 |
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 |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
682 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9022 |