National Provider Identifier [NPI]: |
1346263845 |
Last Name Of The Provider |
ROWAN |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2850 W 95TH ST |
Street Address 2 Of The Provider |
SUITE 305 |
City Of The Provider |
EVERGREEN PARK |
Zip Code Of The Provider |
608052735 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
4940 |
Number Of Medicare Beneficiaries |
2439 |
Total Submitted Charge Amount |
471735 |
Total Medicare Allowed Amount |
317612 |
Total Medicare Payment Amount |
233768.72 |
Total Medicare Standardized Payment Amount |
218387.37 |
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 |
47 |
Number Of Medical Services |
4940 |
Number Of Medicare Beneficiaries With Medical Services |
2439 |
Total Medical Submitted Charge Amount |
471735 |
Total Medical Medicare Allowed Amount |
317612 |
Total Medical Medicare Payment Amount |
233768.72 |
Total Medical Medicare Standardized Payment Amount |
218387.37 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
263 |
Number Of Beneficiaries Age 65 to 74 |
732 |
Number Of Beneficiaries Age 75 to 84 |
892 |
Number Of Beneficiaries Age Greater 84 |
552 |
Number Of Female Beneficiaries |
1355 |
Number Of Male Beneficiaries |
1084 |
Number Of Non Hispanic White Beneficiaries |
1554 |
Number Of Black or African American Beneficiaries |
817 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1951 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
488 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9813 |