National Provider Identifier [NPI]: |
1245376987 |
Last Name Of The Provider |
ADELMAN |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
990 W ANN ARBOR TRL STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLYMOUTH |
Zip Code Of The Provider |
481701686 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
4680 |
Number Of Medicare Beneficiaries |
736 |
Total Submitted Charge Amount |
589294.4 |
Total Medicare Allowed Amount |
349947.94 |
Total Medicare Payment Amount |
263207.87 |
Total Medicare Standardized Payment Amount |
261125.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
2800.4 |
Total Drug Medicare AllowedAmount |
1518.45 |
Total Drug Medicare PaymentAmount |
1190.47 |
Total Drug Medicare Standardized Payment Amount |
1190.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
4636 |
Number Of Medicare Beneficiaries With Medical Services |
736 |
Total Medical Submitted Charge Amount |
586494 |
Total Medical Medicare Allowed Amount |
348429.49 |
Total Medical Medicare Payment Amount |
262017.4 |
Total Medical Medicare Standardized Payment Amount |
259935.21 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
298 |
Number Of Non Hispanic White Beneficiaries |
659 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
628 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7732 |