National Provider Identifier [NPI]: |
1366429706 |
Last Name Of The Provider |
RIEMER |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5959 LAWNDALE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LUDINGTON |
Zip Code Of The Provider |
494312921 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
11257 |
Number Of Medicare Beneficiaries |
2054 |
Total Submitted Charge Amount |
2486456 |
Total Medicare Allowed Amount |
1355526.67 |
Total Medicare Payment Amount |
1008691.12 |
Total Medicare Standardized Payment Amount |
1052916.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
134 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
84034 |
Total Drug Medicare AllowedAmount |
74787.57 |
Total Drug Medicare PaymentAmount |
58626.67 |
Total Drug Medicare Standardized Payment Amount |
58626.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
11123 |
Number Of Medicare Beneficiaries With Medical Services |
2054 |
Total Medical Submitted Charge Amount |
2402422 |
Total Medical Medicare Allowed Amount |
1280739.1 |
Total Medical Medicare Payment Amount |
950064.45 |
Total Medical Medicare Standardized Payment Amount |
994289.42 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
734 |
Number Of Beneficiaries Age 75 to 84 |
763 |
Number Of Beneficiaries Age Greater 84 |
381 |
Number Of Female Beneficiaries |
1239 |
Number Of Male Beneficiaries |
815 |
Number Of Non Hispanic White Beneficiaries |
1975 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
16 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1761 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
293 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1202 |