National Provider Identifier [NPI]: |
1932163037 |
Last Name Of The Provider |
KASON |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19001 OLD LAGRANGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOKENA |
Zip Code Of The Provider |
604488012 |
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 |
66 |
Number Of Services |
15562 |
Number Of Medicare Beneficiaries |
6313 |
Total Submitted Charge Amount |
4487823 |
Total Medicare Allowed Amount |
1329538.61 |
Total Medicare Payment Amount |
1015288.61 |
Total Medicare Standardized Payment Amount |
977829.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1536 |
Number Of Medicare Beneficiaries With Drug Services |
385 |
Total Drug Submitted ChargeAmount |
153246 |
Total Drug Medicare AllowedAmount |
81135.13 |
Total Drug Medicare PaymentAmount |
62940.1 |
Total Drug Medicare Standardized Payment Amount |
62940.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
14026 |
Number Of Medicare Beneficiaries With Medical Services |
6312 |
Total Medical Submitted Charge Amount |
4334577 |
Total Medical Medicare Allowed Amount |
1248403.48 |
Total Medical Medicare Payment Amount |
952348.51 |
Total Medical Medicare Standardized Payment Amount |
914889.8 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
474 |
Number Of Beneficiaries Age 65 to 74 |
2143 |
Number Of Beneficiaries Age 75 to 84 |
2225 |
Number Of Beneficiaries Age Greater 84 |
1471 |
Number Of Female Beneficiaries |
3442 |
Number Of Male Beneficiaries |
2871 |
Number Of Non Hispanic White Beneficiaries |
5368 |
Number Of Black or African American Beneficiaries |
628 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
213 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
5406 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
907 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8346 |