National Provider Identifier [NPI]: |
1477658862 |
Last Name Of The Provider |
AZUMA |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 SPALDING DRIVE |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
NAPERVILLE |
Zip Code Of The Provider |
60540 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
231385 |
Number Of Medicare Beneficiaries |
746 |
Total Submitted Charge Amount |
2907606.37 |
Total Medicare Allowed Amount |
2187452.63 |
Total Medicare Payment Amount |
1698243.9 |
Total Medicare Standardized Payment Amount |
1672438.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
61 |
Number Of Drug Services |
219948 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
2346861.37 |
Total Drug Medicare AllowedAmount |
1711697.31 |
Total Drug Medicare PaymentAmount |
1330456.92 |
Total Drug Medicare Standardized Payment Amount |
1330456.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
11437 |
Number Of Medicare Beneficiaries With Medical Services |
746 |
Total Medical Submitted Charge Amount |
560745 |
Total Medical Medicare Allowed Amount |
475755.32 |
Total Medical Medicare Payment Amount |
367786.98 |
Total Medical Medicare Standardized Payment Amount |
341981.35 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
294 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
432 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
641 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
673 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9367 |