National Provider Identifier [NPI]: |
1053336156 |
Last Name Of The Provider |
MAKRIS |
First Name Of The Provider |
ANGELO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3011 BUTTERFIELD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAK BROOK |
Zip Code Of The Provider |
605231192 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
100018 |
Number Of Medicare Beneficiaries |
843 |
Total Submitted Charge Amount |
17190296 |
Total Medicare Allowed Amount |
5351304.3 |
Total Medicare Payment Amount |
4175597.9 |
Total Medicare Standardized Payment Amount |
3916881.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
92758 |
Number Of Medicare Beneficiaries With Drug Services |
796 |
Total Drug Submitted ChargeAmount |
106965 |
Total Drug Medicare AllowedAmount |
31729.69 |
Total Drug Medicare PaymentAmount |
24851.35 |
Total Drug Medicare Standardized Payment Amount |
24851.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
7260 |
Number Of Medicare Beneficiaries With Medical Services |
843 |
Total Medical Submitted Charge Amount |
17083331 |
Total Medical Medicare Allowed Amount |
5319574.61 |
Total Medical Medicare Payment Amount |
4150746.55 |
Total Medical Medicare Standardized Payment Amount |
3892029.84 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
362 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
377 |
Number Of Male Beneficiaries |
466 |
Number Of Non Hispanic White Beneficiaries |
278 |
Number Of Black or African American Beneficiaries |
326 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
208 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
380 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
463 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
8.0641 |