National Provider Identifier [NPI]: |
1386631018 |
Last Name Of The Provider |
LABARRE |
First Name Of The Provider |
TERRY |
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 |
351 DELNOR DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
GENEVA |
Zip Code Of The Provider |
601344220 |
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 |
44 |
Number Of Services |
4051 |
Number Of Medicare Beneficiaries |
1718 |
Total Submitted Charge Amount |
848183.75 |
Total Medicare Allowed Amount |
361136.76 |
Total Medicare Payment Amount |
266239.4 |
Total Medicare Standardized Payment Amount |
253147.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
7714 |
Total Drug Medicare AllowedAmount |
3072.04 |
Total Drug Medicare PaymentAmount |
2408.45 |
Total Drug Medicare Standardized Payment Amount |
2408.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3993 |
Number Of Medicare Beneficiaries With Medical Services |
1718 |
Total Medical Submitted Charge Amount |
840469.75 |
Total Medical Medicare Allowed Amount |
358064.72 |
Total Medical Medicare Payment Amount |
263830.95 |
Total Medical Medicare Standardized Payment Amount |
250738.75 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
608 |
Number Of Beneficiaries Age 75 to 84 |
613 |
Number Of Beneficiaries Age Greater 84 |
427 |
Number Of Female Beneficiaries |
877 |
Number Of Male Beneficiaries |
841 |
Number Of Non Hispanic White Beneficiaries |
1631 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1577 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5456 |