| National Provider Identifier [NPI]: | 1770637670 |
| Last Name Of The Provider | SAPERSTEIN |
| First Name Of The Provider | GLENN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5889 BAY RD |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | SAGINAW |
| Zip Code Of The Provider | 486042540 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Emergency Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 109 |
| Number Of Services | 28830.6 |
| Number Of Medicare Beneficiaries | 819 |
| Total Submitted Charge Amount | 2935558 |
| Total Medicare Allowed Amount | 938764.02 |
| Total Medicare Payment Amount | 740678.21 |
| Total Medicare Standardized Payment Amount | 738340.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 15 |
| Number Of Drug Services | 18069.6 |
| Number Of Medicare Beneficiaries With Drug Services | 369 |
| Total Drug Submitted ChargeAmount | 240570 |
| Total Drug Medicare AllowedAmount | 134037.39 |
| Total Drug Medicare PaymentAmount | 105044.58 |
| Total Drug Medicare Standardized Payment Amount | 105044.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 94 |
| Number Of Medical Services | 10761 |
| Number Of Medicare Beneficiaries With Medical Services | 819 |
| Total Medical Submitted Charge Amount | 2694988 |
| Total Medical Medicare Allowed Amount | 804726.63 |
| Total Medical Medicare Payment Amount | 635633.63 |
| Total Medical Medicare Standardized Payment Amount | 633295.7 |
| Average Age Of Beneficiaries | 56 |
| Number Of Beneficiaries Age Less65 | 662 |
| Number Of Beneficiaries Age 65 to 74 | 133 |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 434 |
| Number Of Male Beneficiaries | 385 |
| Number Of Non Hispanic White Beneficiaries | 575 |
| Number Of Black or African American Beneficiaries | 206 |
| Number Of AsianPacific Islander Beneficiaries | 0 |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 497 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 322 |
| Percent Of With Atrial Fibrillation | 2 |
| Percent Of With Alzheimers Disease or Dementia | 4 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 3 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 8 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 40 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 42 |
| Percent Of With Hypertension | 49 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.9064 |