National Provider Identifier [NPI]: |
1609994441 |
Last Name Of The Provider |
GAROON |
First Name Of The Provider |
IRA |
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 |
9301 GOLF RD |
Street Address 2 Of The Provider |
SUITE #102 |
City Of The Provider |
DES PLAINES |
Zip Code Of The Provider |
600161667 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
9407 |
Number Of Medicare Beneficiaries |
1256 |
Total Submitted Charge Amount |
2035315.8 |
Total Medicare Allowed Amount |
2023049.66 |
Total Medicare Payment Amount |
1562710.13 |
Total Medicare Standardized Payment Amount |
1519388.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1175 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
1110894 |
Total Drug Medicare AllowedAmount |
1110892.23 |
Total Drug Medicare PaymentAmount |
870394.37 |
Total Drug Medicare Standardized Payment Amount |
870394.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
8232 |
Number Of Medicare Beneficiaries With Medical Services |
1256 |
Total Medical Submitted Charge Amount |
924421.8 |
Total Medical Medicare Allowed Amount |
912157.43 |
Total Medical Medicare Payment Amount |
692315.76 |
Total Medical Medicare Standardized Payment Amount |
648994.12 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
409 |
Number Of Beneficiaries Age 75 to 84 |
488 |
Number Of Beneficiaries Age Greater 84 |
326 |
Number Of Female Beneficiaries |
691 |
Number Of Male Beneficiaries |
565 |
Number Of Non Hispanic White Beneficiaries |
1162 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3452 |