National Provider Identifier [NPI]: |
1831355387 |
Last Name Of The Provider |
RAPOPORT |
First Name Of The Provider |
MARK |
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 |
676 N SAINT CLAIR ST |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606112927 |
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 |
253 |
Number Of Services |
4058 |
Number Of Medicare Beneficiaries |
2256 |
Total Submitted Charge Amount |
532875 |
Total Medicare Allowed Amount |
174185.16 |
Total Medicare Payment Amount |
134791.9 |
Total Medicare Standardized Payment Amount |
139159.34 |
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 |
253 |
Number Of Medical Services |
4058 |
Number Of Medicare Beneficiaries With Medical Services |
2256 |
Total Medical Submitted Charge Amount |
532875 |
Total Medical Medicare Allowed Amount |
174185.16 |
Total Medical Medicare Payment Amount |
134791.9 |
Total Medical Medicare Standardized Payment Amount |
139159.34 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
767 |
Number Of Beneficiaries Age 65 to 74 |
660 |
Number Of Beneficiaries Age 75 to 84 |
490 |
Number Of Beneficiaries Age Greater 84 |
339 |
Number Of Female Beneficiaries |
1241 |
Number Of Male Beneficiaries |
1015 |
Number Of Non Hispanic White Beneficiaries |
1750 |
Number Of Black or African American Beneficiaries |
326 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
114 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1398 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
858 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.2275 |