National Provider Identifier [NPI]: |
1811976137 |
Last Name Of The Provider |
DURCO |
First Name Of The Provider |
MILAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 JOHN DEERE ROAD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MOLINE |
Zip Code Of The Provider |
612656897 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
14969 |
Number Of Medicare Beneficiaries |
1033 |
Total Submitted Charge Amount |
488491.3 |
Total Medicare Allowed Amount |
458602.3 |
Total Medicare Payment Amount |
344101.5 |
Total Medicare Standardized Payment Amount |
348780.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
3241 |
Number Of Medicare Beneficiaries With Drug Services |
322 |
Total Drug Submitted ChargeAmount |
30786.75 |
Total Drug Medicare AllowedAmount |
23062.34 |
Total Drug Medicare PaymentAmount |
19075.47 |
Total Drug Medicare Standardized Payment Amount |
19075.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
11728 |
Number Of Medicare Beneficiaries With Medical Services |
1033 |
Total Medical Submitted Charge Amount |
457704.55 |
Total Medical Medicare Allowed Amount |
435539.96 |
Total Medical Medicare Payment Amount |
325026.03 |
Total Medical Medicare Standardized Payment Amount |
329704.73 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
292 |
Number Of Beneficiaries Age 75 to 84 |
373 |
Number Of Beneficiaries Age Greater 84 |
335 |
Number Of Female Beneficiaries |
627 |
Number Of Male Beneficiaries |
406 |
Number Of Non Hispanic White Beneficiaries |
991 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
887 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3106 |