National Provider Identifier [NPI]: |
1144538299 |
Last Name Of The Provider |
SOBTI |
First Name Of The Provider |
ARJUN |
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 |
675 W NORTH AVE |
Street Address 2 Of The Provider |
SUITE 402 |
City Of The Provider |
MELROSE PARK |
Zip Code Of The Provider |
601601634 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
226 |
Number Of Services |
7454 |
Number Of Medicare Beneficiaries |
3739 |
Total Submitted Charge Amount |
1322702.54 |
Total Medicare Allowed Amount |
269511.63 |
Total Medicare Payment Amount |
206904.96 |
Total Medicare Standardized Payment Amount |
218489.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
226 |
Number Of Medical Services |
7454 |
Number Of Medicare Beneficiaries With Medical Services |
3739 |
Total Medical Submitted Charge Amount |
1322702.54 |
Total Medical Medicare Allowed Amount |
269511.63 |
Total Medical Medicare Payment Amount |
206904.96 |
Total Medical Medicare Standardized Payment Amount |
218489.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
542 |
Number Of Beneficiaries Age 65 to 74 |
1331 |
Number Of Beneficiaries Age 75 to 84 |
1186 |
Number Of Beneficiaries Age Greater 84 |
680 |
Number Of Female Beneficiaries |
2207 |
Number Of Male Beneficiaries |
1532 |
Number Of Non Hispanic White Beneficiaries |
3618 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3028 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
711 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3509 |