National Provider Identifier [NPI]: |
1255327102 |
Last Name Of The Provider |
SZABO |
First Name Of The Provider |
SZABOLCS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 S LAKE PARK AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
HOBART |
Zip Code Of The Provider |
463426790 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
2658 |
Number Of Medicare Beneficiaries |
1019 |
Total Submitted Charge Amount |
566083 |
Total Medicare Allowed Amount |
234989.55 |
Total Medicare Payment Amount |
178134.36 |
Total Medicare Standardized Payment Amount |
188159.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
10181 |
Total Drug Medicare AllowedAmount |
5304.67 |
Total Drug Medicare PaymentAmount |
4005.07 |
Total Drug Medicare Standardized Payment Amount |
4005.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
2545 |
Number Of Medicare Beneficiaries With Medical Services |
1019 |
Total Medical Submitted Charge Amount |
555902 |
Total Medical Medicare Allowed Amount |
229684.88 |
Total Medical Medicare Payment Amount |
174129.29 |
Total Medical Medicare Standardized Payment Amount |
184154.59 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
352 |
Number Of Beneficiaries Age 75 to 84 |
314 |
Number Of Beneficiaries Age Greater 84 |
199 |
Number Of Female Beneficiaries |
561 |
Number Of Male Beneficiaries |
458 |
Number Of Non Hispanic White Beneficiaries |
880 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
811 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8778 |