National Provider Identifier [NPI]: |
1194772509 |
Last Name Of The Provider |
BERKOWICZ |
First Name Of The Provider |
YECHIEL |
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 |
3405 N ARLINGTON HEIGHTS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ARLINGTON HEIGHTS |
Zip Code Of The Provider |
600041536 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
7202 |
Number Of Medicare Beneficiaries |
377 |
Total Submitted Charge Amount |
459242 |
Total Medicare Allowed Amount |
287902.73 |
Total Medicare Payment Amount |
228188.59 |
Total Medicare Standardized Payment Amount |
219017.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
168 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
6428 |
Total Drug Medicare AllowedAmount |
3928.38 |
Total Drug Medicare PaymentAmount |
3702.51 |
Total Drug Medicare Standardized Payment Amount |
3702.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
7034 |
Number Of Medicare Beneficiaries With Medical Services |
377 |
Total Medical Submitted Charge Amount |
452814 |
Total Medical Medicare Allowed Amount |
283974.35 |
Total Medical Medicare Payment Amount |
224486.08 |
Total Medical Medicare Standardized Payment Amount |
215315.36 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
185 |
Number Of Non Hispanic White Beneficiaries |
353 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
366 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9901 |