National Provider Identifier [NPI]: |
1831359306 |
Last Name Of The Provider |
KESANI |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20060 GOVERNORS DR |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
OLYMPIA FIELDS |
Zip Code Of The Provider |
604611029 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
1777 |
Number Of Medicare Beneficiaries |
435 |
Total Submitted Charge Amount |
1942117.3 |
Total Medicare Allowed Amount |
263200.98 |
Total Medicare Payment Amount |
200764.8 |
Total Medicare Standardized Payment Amount |
177265.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
3360 |
Total Drug Medicare AllowedAmount |
456.99 |
Total Drug Medicare PaymentAmount |
358.24 |
Total Drug Medicare Standardized Payment Amount |
358.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
1697 |
Number Of Medicare Beneficiaries With Medical Services |
435 |
Total Medical Submitted Charge Amount |
1938757.3 |
Total Medical Medicare Allowed Amount |
262743.99 |
Total Medical Medicare Payment Amount |
200406.56 |
Total Medical Medicare Standardized Payment Amount |
176907.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
273 |
Number Of Male Beneficiaries |
162 |
Number Of Non Hispanic White Beneficiaries |
255 |
Number Of Black or African American Beneficiaries |
155 |
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 |
326 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5741 |