National Provider Identifier [NPI]: |
1093708034 |
Last Name Of The Provider |
MCCREARY |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2800 N SHERIDAN RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
60657 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
3071 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
438150 |
Total Medicare Allowed Amount |
183296.16 |
Total Medicare Payment Amount |
126923.87 |
Total Medicare Standardized Payment Amount |
120260.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
154 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
4075 |
Total Drug Medicare AllowedAmount |
1810.61 |
Total Drug Medicare PaymentAmount |
1730.67 |
Total Drug Medicare Standardized Payment Amount |
1730.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2917 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
434075 |
Total Medical Medicare Allowed Amount |
181485.55 |
Total Medical Medicare Payment Amount |
125193.2 |
Total Medical Medicare Standardized Payment Amount |
118529.84 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
223 |
Number Of Male Beneficiaries |
149 |
Number Of Non Hispanic White Beneficiaries |
251 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1934 |