National Provider Identifier [NPI]: |
1225376551 |
Last Name Of The Provider |
KAUFMAN |
First Name Of The Provider |
AMBER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
APN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
890 E HIGGINS RD |
Street Address 2 Of The Provider |
#156 |
City Of The Provider |
SCHAUMBURG |
Zip Code Of The Provider |
601734799 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
2951 |
Number Of Medicare Beneficiaries |
479 |
Total Submitted Charge Amount |
400461.85 |
Total Medicare Allowed Amount |
286725.66 |
Total Medicare Payment Amount |
228889.65 |
Total Medicare Standardized Payment Amount |
252226.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
28 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
298.42 |
Total Drug Medicare AllowedAmount |
297.42 |
Total Drug Medicare PaymentAmount |
289.75 |
Total Drug Medicare Standardized Payment Amount |
289.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2923 |
Number Of Medicare Beneficiaries With Medical Services |
479 |
Total Medical Submitted Charge Amount |
400163.43 |
Total Medical Medicare Allowed Amount |
286428.24 |
Total Medical Medicare Payment Amount |
228599.9 |
Total Medical Medicare Standardized Payment Amount |
251936.78 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
295 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
353 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
56 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
127 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
352 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
32 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
70 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.1147 |