National Provider Identifier [NPI]: |
1366645046 |
Last Name Of The Provider |
NIJMEH |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25 N WINFIELD RD |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
WINFIELD |
Zip Code Of The Provider |
60190 |
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 |
61 |
Number Of Services |
6452 |
Number Of Medicare Beneficiaries |
2098 |
Total Submitted Charge Amount |
1610653.25 |
Total Medicare Allowed Amount |
684570.37 |
Total Medicare Payment Amount |
520842.79 |
Total Medicare Standardized Payment Amount |
505390.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
638 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
70234 |
Total Drug Medicare AllowedAmount |
32976.5 |
Total Drug Medicare PaymentAmount |
25615.78 |
Total Drug Medicare Standardized Payment Amount |
25615.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
5814 |
Number Of Medicare Beneficiaries With Medical Services |
2098 |
Total Medical Submitted Charge Amount |
1540419.25 |
Total Medical Medicare Allowed Amount |
651593.87 |
Total Medical Medicare Payment Amount |
495227.01 |
Total Medical Medicare Standardized Payment Amount |
479775.19 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
849 |
Number Of Beneficiaries Age 75 to 84 |
719 |
Number Of Beneficiaries Age Greater 84 |
372 |
Number Of Female Beneficiaries |
1026 |
Number Of Male Beneficiaries |
1072 |
Number Of Non Hispanic White Beneficiaries |
1821 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
84 |
Number Of Hispanic Beneficiaries |
90 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
1833 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
265 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4966 |