National Provider Identifier [NPI]: |
1952510729 |
Last Name Of The Provider |
MACWAR |
First Name Of The Provider |
RACHID |
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 |
5405 N KNOXVILLE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
616145016 |
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 |
71 |
Number Of Services |
6888 |
Number Of Medicare Beneficiaries |
3579 |
Total Submitted Charge Amount |
1134577 |
Total Medicare Allowed Amount |
294219.19 |
Total Medicare Payment Amount |
220466.85 |
Total Medicare Standardized Payment Amount |
225597.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
644 |
Total Drug Medicare AllowedAmount |
497.13 |
Total Drug Medicare PaymentAmount |
487.17 |
Total Drug Medicare Standardized Payment Amount |
487.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
6877 |
Number Of Medicare Beneficiaries With Medical Services |
3579 |
Total Medical Submitted Charge Amount |
1133933 |
Total Medical Medicare Allowed Amount |
293722.06 |
Total Medical Medicare Payment Amount |
219979.68 |
Total Medical Medicare Standardized Payment Amount |
225109.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
498 |
Number Of Beneficiaries Age 65 to 74 |
1388 |
Number Of Beneficiaries Age 75 to 84 |
1147 |
Number Of Beneficiaries Age Greater 84 |
546 |
Number Of Female Beneficiaries |
1733 |
Number Of Male Beneficiaries |
1846 |
Number Of Non Hispanic White Beneficiaries |
3253 |
Number Of Black or African American Beneficiaries |
215 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
51 |
Number Of Beneficiaries With Medicare Only Entitlement |
2873 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
706 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6481 |