National Provider Identifier [NPI]: |
1801829247 |
Last Name Of The Provider |
PIGATO |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
455 W COURT ST |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
KANKAKEE |
Zip Code Of The Provider |
609013679 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
11600 |
Number Of Medicare Beneficiaries |
796 |
Total Submitted Charge Amount |
2414856.5 |
Total Medicare Allowed Amount |
548882.36 |
Total Medicare Payment Amount |
410755.86 |
Total Medicare Standardized Payment Amount |
430185.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2566 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
235513.5 |
Total Drug Medicare AllowedAmount |
71977.84 |
Total Drug Medicare PaymentAmount |
55968.39 |
Total Drug Medicare Standardized Payment Amount |
55968.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
9034 |
Number Of Medicare Beneficiaries With Medical Services |
796 |
Total Medical Submitted Charge Amount |
2179343 |
Total Medical Medicare Allowed Amount |
476904.52 |
Total Medical Medicare Payment Amount |
354787.47 |
Total Medical Medicare Standardized Payment Amount |
374216.87 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
275 |
Number Of Male Beneficiaries |
521 |
Number Of Non Hispanic White Beneficiaries |
662 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
590 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5635 |