National Provider Identifier [NPI]: |
1033196902 |
Last Name Of The Provider |
POSNIAK |
First Name Of The Provider |
HAROLD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2160 S FIRST AVE |
Street Address 2 Of The Provider |
(MCGAW ENT., RM. 47) |
City Of The Provider |
MAYWOOD |
Zip Code Of The Provider |
60153 |
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 |
84 |
Number Of Services |
3498 |
Number Of Medicare Beneficiaries |
2231 |
Total Submitted Charge Amount |
804693 |
Total Medicare Allowed Amount |
149844.05 |
Total Medicare Payment Amount |
110643.68 |
Total Medicare Standardized Payment Amount |
104285.46 |
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 |
84 |
Number Of Medical Services |
3498 |
Number Of Medicare Beneficiaries With Medical Services |
2231 |
Total Medical Submitted Charge Amount |
804693 |
Total Medical Medicare Allowed Amount |
149844.05 |
Total Medical Medicare Payment Amount |
110643.68 |
Total Medical Medicare Standardized Payment Amount |
104285.46 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
424 |
Number Of Beneficiaries Age 65 to 74 |
942 |
Number Of Beneficiaries Age 75 to 84 |
620 |
Number Of Beneficiaries Age Greater 84 |
245 |
Number Of Female Beneficiaries |
1159 |
Number Of Male Beneficiaries |
1072 |
Number Of Non Hispanic White Beneficiaries |
1619 |
Number Of Black or African American Beneficiaries |
341 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
192 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1686 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
545 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.1716 |