National Provider Identifier [NPI]: |
1861456022 |
Last Name Of The Provider |
CHAROUS |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3633 W LAKE AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
GLENVIEW |
Zip Code Of The Provider |
600265805 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
4212 |
Number Of Medicare Beneficiaries |
821 |
Total Submitted Charge Amount |
1017727 |
Total Medicare Allowed Amount |
303521.86 |
Total Medicare Payment Amount |
227726.1 |
Total Medicare Standardized Payment Amount |
210374.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2041 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
16328 |
Total Drug Medicare AllowedAmount |
11207.42 |
Total Drug Medicare PaymentAmount |
8700.89 |
Total Drug Medicare Standardized Payment Amount |
8700.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
2171 |
Number Of Medicare Beneficiaries With Medical Services |
821 |
Total Medical Submitted Charge Amount |
1001399 |
Total Medical Medicare Allowed Amount |
292314.44 |
Total Medical Medicare Payment Amount |
219025.21 |
Total Medical Medicare Standardized Payment Amount |
201674.03 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
327 |
Number Of Beneficiaries Age 75 to 84 |
309 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
482 |
Number Of Male Beneficiaries |
339 |
Number Of Non Hispanic White Beneficiaries |
667 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
685 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2909 |