National Provider Identifier [NPI]: |
1891770822 |
Last Name Of The Provider |
SCHEUER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3815 HIGHLAND AVE |
Street Address 2 Of The Provider |
RADIOLOGY DEPARTMENT |
City Of The Provider |
DOWNERS GROVE |
Zip Code Of The Provider |
605151500 |
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 |
129 |
Number Of Services |
2161 |
Number Of Medicare Beneficiaries |
1368 |
Total Submitted Charge Amount |
362500 |
Total Medicare Allowed Amount |
79608.66 |
Total Medicare Payment Amount |
61110.23 |
Total Medicare Standardized Payment Amount |
59378.58 |
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 |
129 |
Number Of Medical Services |
2161 |
Number Of Medicare Beneficiaries With Medical Services |
1368 |
Total Medical Submitted Charge Amount |
362500 |
Total Medical Medicare Allowed Amount |
79608.66 |
Total Medical Medicare Payment Amount |
61110.23 |
Total Medical Medicare Standardized Payment Amount |
59378.58 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
427 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
359 |
Number Of Female Beneficiaries |
815 |
Number Of Male Beneficiaries |
553 |
Number Of Non Hispanic White Beneficiaries |
1168 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
75 |
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1135 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9799 |