National Provider Identifier [NPI]: |
1982727830 |
Last Name Of The Provider |
FERRERA |
First Name Of The Provider |
DEAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10837 S CICERO AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
OAK LAWN |
Zip Code Of The Provider |
604536458 |
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 |
75 |
Number Of Services |
3712 |
Number Of Medicare Beneficiaries |
1830 |
Total Submitted Charge Amount |
733787 |
Total Medicare Allowed Amount |
280323.04 |
Total Medicare Payment Amount |
215911.3 |
Total Medicare Standardized Payment Amount |
201776.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
91 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
7271 |
Total Drug Medicare AllowedAmount |
4818.85 |
Total Drug Medicare PaymentAmount |
3777.94 |
Total Drug Medicare Standardized Payment Amount |
3777.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
3621 |
Number Of Medicare Beneficiaries With Medical Services |
1830 |
Total Medical Submitted Charge Amount |
726516 |
Total Medical Medicare Allowed Amount |
275504.19 |
Total Medical Medicare Payment Amount |
212133.36 |
Total Medical Medicare Standardized Payment Amount |
197999.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
304 |
Number Of Beneficiaries Age 65 to 74 |
570 |
Number Of Beneficiaries Age 75 to 84 |
572 |
Number Of Beneficiaries Age Greater 84 |
384 |
Number Of Female Beneficiaries |
1107 |
Number Of Male Beneficiaries |
723 |
Number Of Non Hispanic White Beneficiaries |
601 |
Number Of Black or African American Beneficiaries |
1112 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
97 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1133 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
697 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.6134 |