National Provider Identifier [NPI]: |
1447235015 |
Last Name Of The Provider |
TOMA |
First Name Of The Provider |
RAAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15300 W 9 MILE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAK PARK |
Zip Code Of The Provider |
482372584 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
7793 |
Number Of Medicare Beneficiaries |
454 |
Total Submitted Charge Amount |
728900 |
Total Medicare Allowed Amount |
443054.97 |
Total Medicare Payment Amount |
322817.24 |
Total Medicare Standardized Payment Amount |
318886.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
611 |
Number Of Medicare Beneficiaries With Drug Services |
274 |
Total Drug Submitted ChargeAmount |
17535 |
Total Drug Medicare AllowedAmount |
6534.13 |
Total Drug Medicare PaymentAmount |
6024.66 |
Total Drug Medicare Standardized Payment Amount |
6024.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
7182 |
Number Of Medicare Beneficiaries With Medical Services |
454 |
Total Medical Submitted Charge Amount |
711365 |
Total Medical Medicare Allowed Amount |
436520.84 |
Total Medical Medicare Payment Amount |
316792.58 |
Total Medical Medicare Standardized Payment Amount |
312861.65 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
189 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
249 |
Number Of Male Beneficiaries |
205 |
Number Of Non Hispanic White Beneficiaries |
194 |
Number Of Black or African American Beneficiaries |
188 |
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 |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
186 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4993 |