National Provider Identifier [NPI]: |
1144370479 |
Last Name Of The Provider |
OROWE |
First Name Of The Provider |
STANISLAUS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16000 W 9 MILE RD |
Street Address 2 Of The Provider |
SUITE 505 |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480754808 |
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 |
20 |
Number Of Services |
4488 |
Number Of Medicare Beneficiaries |
457 |
Total Submitted Charge Amount |
531564.7 |
Total Medicare Allowed Amount |
524291.24 |
Total Medicare Payment Amount |
390137.1 |
Total Medicare Standardized Payment Amount |
382761.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
130 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
2081.29 |
Total Drug Medicare AllowedAmount |
1981.69 |
Total Drug Medicare PaymentAmount |
1941.73 |
Total Drug Medicare Standardized Payment Amount |
1941.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
4358 |
Number Of Medicare Beneficiaries With Medical Services |
457 |
Total Medical Submitted Charge Amount |
529483.41 |
Total Medical Medicare Allowed Amount |
522309.55 |
Total Medical Medicare Payment Amount |
388195.37 |
Total Medical Medicare Standardized Payment Amount |
380819.31 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
197 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
413 |
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 |
126 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
331 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
31 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9383 |