National Provider Identifier [NPI]: |
1164487088 |
Last Name Of The Provider |
FRIEDMAN |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4711 W GOLF RD |
Street Address 2 Of The Provider |
STE 910 |
City Of The Provider |
SKOKIE |
Zip Code Of The Provider |
600761247 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
6999 |
Number Of Medicare Beneficiaries |
704 |
Total Submitted Charge Amount |
1209514 |
Total Medicare Allowed Amount |
357427.86 |
Total Medicare Payment Amount |
264285.3 |
Total Medicare Standardized Payment Amount |
255835.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2688 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
275470 |
Total Drug Medicare AllowedAmount |
83747.55 |
Total Drug Medicare PaymentAmount |
63596.15 |
Total Drug Medicare Standardized Payment Amount |
63596.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4311 |
Number Of Medicare Beneficiaries With Medical Services |
704 |
Total Medical Submitted Charge Amount |
934044 |
Total Medical Medicare Allowed Amount |
273680.31 |
Total Medical Medicare Payment Amount |
200689.15 |
Total Medical Medicare Standardized Payment Amount |
192239.13 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
103 |
Number Of Male Beneficiaries |
601 |
Number Of Non Hispanic White Beneficiaries |
656 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
661 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2811 |