National Provider Identifier [NPI]: |
1356369037 |
Last Name Of The Provider |
CHOW |
First Name Of The Provider |
RAYMOND |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
35 TOWER CT |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
GURNEE |
Zip Code Of The Provider |
600315712 |
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 |
87 |
Number Of Services |
9258 |
Number Of Medicare Beneficiaries |
2303 |
Total Submitted Charge Amount |
1850807 |
Total Medicare Allowed Amount |
971584.49 |
Total Medicare Payment Amount |
743558.55 |
Total Medicare Standardized Payment Amount |
706248.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
597 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
59700 |
Total Drug Medicare AllowedAmount |
31291.89 |
Total Drug Medicare PaymentAmount |
24532.8 |
Total Drug Medicare Standardized Payment Amount |
24532.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
8661 |
Number Of Medicare Beneficiaries With Medical Services |
2303 |
Total Medical Submitted Charge Amount |
1791107 |
Total Medical Medicare Allowed Amount |
940292.6 |
Total Medical Medicare Payment Amount |
719025.75 |
Total Medical Medicare Standardized Payment Amount |
681715.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
316 |
Number Of Beneficiaries Age 65 to 74 |
750 |
Number Of Beneficiaries Age 75 to 84 |
757 |
Number Of Beneficiaries Age Greater 84 |
480 |
Number Of Female Beneficiaries |
1298 |
Number Of Male Beneficiaries |
1005 |
Number Of Non Hispanic White Beneficiaries |
1772 |
Number Of Black or African American Beneficiaries |
254 |
Number Of AsianPacific Islander Beneficiaries |
62 |
Number Of Hispanic Beneficiaries |
190 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1718 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
585 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9774 |