National Provider Identifier [NPI]: |
1467508846 |
Last Name Of The Provider |
FREEDBERG |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1110 W SCHICK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BARTLETT |
Zip Code Of The Provider |
601033007 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
3021 |
Number Of Medicare Beneficiaries |
328 |
Total Submitted Charge Amount |
954443.1 |
Total Medicare Allowed Amount |
198868.44 |
Total Medicare Payment Amount |
149541.94 |
Total Medicare Standardized Payment Amount |
141222.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
557 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
66014 |
Total Drug Medicare AllowedAmount |
7026.91 |
Total Drug Medicare PaymentAmount |
5176.03 |
Total Drug Medicare Standardized Payment Amount |
5176.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
2464 |
Number Of Medicare Beneficiaries With Medical Services |
328 |
Total Medical Submitted Charge Amount |
888429.1 |
Total Medical Medicare Allowed Amount |
191841.53 |
Total Medical Medicare Payment Amount |
144365.91 |
Total Medical Medicare Standardized Payment Amount |
136046.42 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
178 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
269 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
273 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0569 |