National Provider Identifier [NPI]: |
1043203862 |
Last Name Of The Provider |
KAMIN |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3800 W 203RD ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
OLYMPIA FIELDS |
Zip Code Of The Provider |
604611184 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
9492 |
Number Of Medicare Beneficiaries |
3326 |
Total Submitted Charge Amount |
1421680.48 |
Total Medicare Allowed Amount |
635695.63 |
Total Medicare Payment Amount |
478676.82 |
Total Medicare Standardized Payment Amount |
460588.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
640 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
69120 |
Total Drug Medicare AllowedAmount |
33888.15 |
Total Drug Medicare PaymentAmount |
26568.12 |
Total Drug Medicare Standardized Payment Amount |
26568.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
8852 |
Number Of Medicare Beneficiaries With Medical Services |
3326 |
Total Medical Submitted Charge Amount |
1352560.48 |
Total Medical Medicare Allowed Amount |
601807.48 |
Total Medical Medicare Payment Amount |
452108.7 |
Total Medical Medicare Standardized Payment Amount |
434019.97 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
585 |
Number Of Beneficiaries Age 65 to 74 |
1070 |
Number Of Beneficiaries Age 75 to 84 |
993 |
Number Of Beneficiaries Age Greater 84 |
678 |
Number Of Female Beneficiaries |
2019 |
Number Of Male Beneficiaries |
1307 |
Number Of Non Hispanic White Beneficiaries |
1765 |
Number Of Black or African American Beneficiaries |
1375 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
145 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2201 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1125 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1676 |