National Provider Identifier [NPI]: |
1962517151 |
Last Name Of The Provider |
SWARTZ |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2111 MIDLANDS CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
SYCAMORE |
Zip Code Of The Provider |
601783125 |
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 |
58 |
Number Of Services |
1758 |
Number Of Medicare Beneficiaries |
366 |
Total Submitted Charge Amount |
565706 |
Total Medicare Allowed Amount |
129753.94 |
Total Medicare Payment Amount |
95280.86 |
Total Medicare Standardized Payment Amount |
98717.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
560 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
40920 |
Total Drug Medicare AllowedAmount |
14219.76 |
Total Drug Medicare PaymentAmount |
10274.1 |
Total Drug Medicare Standardized Payment Amount |
10274.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
1198 |
Number Of Medicare Beneficiaries With Medical Services |
366 |
Total Medical Submitted Charge Amount |
524786 |
Total Medical Medicare Allowed Amount |
115534.18 |
Total Medical Medicare Payment Amount |
85006.76 |
Total Medical Medicare Standardized Payment Amount |
88442.97 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
215 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
336 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
315 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2072 |