National Provider Identifier [NPI]: |
1144236290 |
Last Name Of The Provider |
MEYER |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4177 FASHION SQUARE BLVD |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
SAGINAW |
Zip Code Of The Provider |
486035216 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1675 |
Number Of Medicare Beneficiaries |
244 |
Total Submitted Charge Amount |
193103 |
Total Medicare Allowed Amount |
140975.61 |
Total Medicare Payment Amount |
99445.41 |
Total Medicare Standardized Payment Amount |
106648.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
68 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
1050 |
Total Drug Medicare AllowedAmount |
626.6 |
Total Drug Medicare PaymentAmount |
590.77 |
Total Drug Medicare Standardized Payment Amount |
590.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1607 |
Number Of Medicare Beneficiaries With Medical Services |
244 |
Total Medical Submitted Charge Amount |
192053 |
Total Medical Medicare Allowed Amount |
140349.01 |
Total Medical Medicare Payment Amount |
98854.64 |
Total Medical Medicare Standardized Payment Amount |
106057.65 |
Average Age Of Beneficiaries |
55 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
41 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
111 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
199 |
Number Of Black or African American Beneficiaries |
22 |
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 |
113 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
15 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2421 |