National Provider Identifier [NPI]: |
1942309125 |
Last Name Of The Provider |
BAUGH |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3825 HIGHLAND AVE |
Street Address 2 Of The Provider |
STE 310 |
City Of The Provider |
DOWNERS GROVE |
Zip Code Of The Provider |
605151552 |
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 |
53 |
Number Of Services |
3308 |
Number Of Medicare Beneficiaries |
1250 |
Total Submitted Charge Amount |
859131 |
Total Medicare Allowed Amount |
360629.87 |
Total Medicare Payment Amount |
275783.94 |
Total Medicare Standardized Payment Amount |
260337.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
660 |
Total Drug Medicare AllowedAmount |
377.9 |
Total Drug Medicare PaymentAmount |
370.34 |
Total Drug Medicare Standardized Payment Amount |
370.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
3285 |
Number Of Medicare Beneficiaries With Medical Services |
1250 |
Total Medical Submitted Charge Amount |
858471 |
Total Medical Medicare Allowed Amount |
360251.97 |
Total Medical Medicare Payment Amount |
275413.6 |
Total Medical Medicare Standardized Payment Amount |
259967.61 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
467 |
Number Of Beneficiaries Age 75 to 84 |
425 |
Number Of Beneficiaries Age Greater 84 |
255 |
Number Of Female Beneficiaries |
683 |
Number Of Male Beneficiaries |
567 |
Number Of Non Hispanic White Beneficiaries |
1138 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1125 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8224 |