National Provider Identifier [NPI]: |
1184603953 |
Last Name Of The Provider |
PAREIGIS |
First Name Of The Provider |
ALEX |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 JOHN DEERE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MOLINE |
Zip Code Of The Provider |
612656897 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
5725 |
Number Of Medicare Beneficiaries |
649 |
Total Submitted Charge Amount |
246654.96 |
Total Medicare Allowed Amount |
240078.22 |
Total Medicare Payment Amount |
173422.9 |
Total Medicare Standardized Payment Amount |
178349.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
2499.35 |
Total Drug Medicare AllowedAmount |
1906.61 |
Total Drug Medicare PaymentAmount |
1723.77 |
Total Drug Medicare Standardized Payment Amount |
1723.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
5489 |
Number Of Medicare Beneficiaries With Medical Services |
649 |
Total Medical Submitted Charge Amount |
244155.61 |
Total Medical Medicare Allowed Amount |
238171.61 |
Total Medical Medicare Payment Amount |
171699.13 |
Total Medical Medicare Standardized Payment Amount |
176625.37 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
227 |
Number Of Female Beneficiaries |
370 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
598 |
Number Of Black or African American Beneficiaries |
28 |
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 |
494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3837 |