National Provider Identifier [NPI]: |
1578571386 |
Last Name Of The Provider |
CORCORAN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 SOUTH KENNEDY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRADLEY |
Zip Code Of The Provider |
60915 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
4793 |
Number Of Medicare Beneficiaries |
694 |
Total Submitted Charge Amount |
2062725 |
Total Medicare Allowed Amount |
376179.94 |
Total Medicare Payment Amount |
281176.71 |
Total Medicare Standardized Payment Amount |
289127.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1893 |
Number Of Medicare Beneficiaries With Drug Services |
327 |
Total Drug Submitted ChargeAmount |
103100 |
Total Drug Medicare AllowedAmount |
25620.9 |
Total Drug Medicare PaymentAmount |
18326.16 |
Total Drug Medicare Standardized Payment Amount |
18326.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
2900 |
Number Of Medicare Beneficiaries With Medical Services |
694 |
Total Medical Submitted Charge Amount |
1959625 |
Total Medical Medicare Allowed Amount |
350559.04 |
Total Medical Medicare Payment Amount |
262850.55 |
Total Medical Medicare Standardized Payment Amount |
270801.12 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
390 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
644 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
633 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9181 |