National Provider Identifier [NPI]: |
1578521746 |
Last Name Of The Provider |
BARTEAU |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3050 MONTVALE DR STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
627046924 |
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 |
201 |
Number Of Services |
11543 |
Number Of Medicare Beneficiaries |
4519 |
Total Submitted Charge Amount |
1539724.37 |
Total Medicare Allowed Amount |
248826.93 |
Total Medicare Payment Amount |
194109.46 |
Total Medicare Standardized Payment Amount |
205420.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4538 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
11417.53 |
Total Drug Medicare AllowedAmount |
1378.64 |
Total Drug Medicare PaymentAmount |
1080.82 |
Total Drug Medicare Standardized Payment Amount |
1080.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
197 |
Number Of Medical Services |
7005 |
Number Of Medicare Beneficiaries With Medical Services |
4519 |
Total Medical Submitted Charge Amount |
1528306.84 |
Total Medical Medicare Allowed Amount |
247448.29 |
Total Medical Medicare Payment Amount |
193028.64 |
Total Medical Medicare Standardized Payment Amount |
204339.78 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
700 |
Number Of Beneficiaries Age 65 to 74 |
1652 |
Number Of Beneficiaries Age 75 to 84 |
1381 |
Number Of Beneficiaries Age Greater 84 |
786 |
Number Of Female Beneficiaries |
2875 |
Number Of Male Beneficiaries |
1644 |
Number Of Non Hispanic White Beneficiaries |
4364 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
3376 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1143 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3748 |