National Provider Identifier [NPI]: |
1568458107 |
Last Name Of The Provider |
LAKHANI |
First Name Of The Provider |
ALI |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2614 W JEFFERSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JOLIET |
Zip Code Of The Provider |
60435 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
24095 |
Number Of Medicare Beneficiaries |
381 |
Total Submitted Charge Amount |
1146501.8 |
Total Medicare Allowed Amount |
444453.46 |
Total Medicare Payment Amount |
344955.51 |
Total Medicare Standardized Payment Amount |
336323.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
33 |
Number Of Drug Services |
21080 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
650216.8 |
Total Drug Medicare AllowedAmount |
236778.23 |
Total Drug Medicare PaymentAmount |
185195.85 |
Total Drug Medicare Standardized Payment Amount |
185195.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3015 |
Number Of Medicare Beneficiaries With Medical Services |
381 |
Total Medical Submitted Charge Amount |
496285 |
Total Medical Medicare Allowed Amount |
207675.23 |
Total Medical Medicare Payment Amount |
159759.66 |
Total Medical Medicare Standardized Payment Amount |
151127.17 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
213 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
300 |
Number Of Black or African American Beneficiaries |
53 |
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 |
280 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
36 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.5045 |