National Provider Identifier [NPI]: |
1588877419 |
Last Name Of The Provider |
HOISINGTON |
First Name Of The Provider |
KARA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1540 LAKE LANSING RD |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
LANSING |
Zip Code Of The Provider |
489123756 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
2616 |
Number Of Medicare Beneficiaries |
409 |
Total Submitted Charge Amount |
199601 |
Total Medicare Allowed Amount |
118187.14 |
Total Medicare Payment Amount |
87208.55 |
Total Medicare Standardized Payment Amount |
93262.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
205 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
10588 |
Total Drug Medicare AllowedAmount |
9493.42 |
Total Drug Medicare PaymentAmount |
7483.84 |
Total Drug Medicare Standardized Payment Amount |
7483.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2411 |
Number Of Medicare Beneficiaries With Medical Services |
409 |
Total Medical Submitted Charge Amount |
189013 |
Total Medical Medicare Allowed Amount |
108693.72 |
Total Medical Medicare Payment Amount |
79724.71 |
Total Medical Medicare Standardized Payment Amount |
85778.94 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
95 |
Number Of Non Hispanic White Beneficiaries |
367 |
Number Of Black or African American Beneficiaries |
30 |
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 |
374 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1205 |