National Provider Identifier [NPI]: |
1073597472 |
Last Name Of The Provider |
MALMER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
821 MCCARTNEY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
YOUNGSTOWN |
Zip Code Of The Provider |
445055000 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3072 |
Number Of Medicare Beneficiaries |
549 |
Total Submitted Charge Amount |
225606 |
Total Medicare Allowed Amount |
201241.5 |
Total Medicare Payment Amount |
154772.12 |
Total Medicare Standardized Payment Amount |
162769.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
175 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
4482 |
Total Drug Medicare AllowedAmount |
3605.88 |
Total Drug Medicare PaymentAmount |
3340.46 |
Total Drug Medicare Standardized Payment Amount |
3340.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2897 |
Number Of Medicare Beneficiaries With Medical Services |
549 |
Total Medical Submitted Charge Amount |
221124 |
Total Medical Medicare Allowed Amount |
197635.62 |
Total Medical Medicare Payment Amount |
151431.66 |
Total Medical Medicare Standardized Payment Amount |
159429.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
306 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
458 |
Number Of Black or African American Beneficiaries |
68 |
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 |
449 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7362 |