National Provider Identifier [NPI]: |
1093931909 |
Last Name Of The Provider |
FLORES |
First Name Of The Provider |
JUAN |
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 |
100 SPALDING DR |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
NAPERVILLE |
Zip Code Of The Provider |
605406550 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
2501 |
Number Of Medicare Beneficiaries |
1048 |
Total Submitted Charge Amount |
911513 |
Total Medicare Allowed Amount |
371259.7 |
Total Medicare Payment Amount |
282217.6 |
Total Medicare Standardized Payment Amount |
267289.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
848 |
Total Drug Medicare AllowedAmount |
497.64 |
Total Drug Medicare PaymentAmount |
487.68 |
Total Drug Medicare Standardized Payment Amount |
487.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2478 |
Number Of Medicare Beneficiaries With Medical Services |
1048 |
Total Medical Submitted Charge Amount |
910665 |
Total Medical Medicare Allowed Amount |
370762.06 |
Total Medical Medicare Payment Amount |
281729.92 |
Total Medical Medicare Standardized Payment Amount |
266801.6 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
485 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
543 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
912 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
929 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7597 |