Medicare Facts for Ilia S. Panov, CRNA


National Provider Identifier [NPI]: 1588800296
Last Name Of The Provider PANOV
First Name Of The Provider ILIA
Middle Initial Of The Provider S
Credentials Of The Provider CRNA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 801 S MILWAUKEE AVE
Street Address 2 Of The Provider
City Of The Provider LIBERTYVILLE
Zip Code Of The Provider 600483204
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 58
Number Of Services 277
Number Of Medicare Beneficiaries 274
Total Submitted Charge Amount 566670
Total Medicare Allowed Amount 44328.66
Total Medicare Payment Amount 34620.74
Total Medicare Standardized Payment Amount 32160
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 58
Number Of Medical Services 277
Number Of Medicare Beneficiaries With Medical Services 274
Total Medical Submitted Charge Amount 566670
Total Medical Medicare Allowed Amount 44328.66
Total Medical Medicare Payment Amount 34620.74
Total Medical Medicare Standardized Payment Amount 32160
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 40
Number Of Beneficiaries Age 65 to 74 119
Number Of Beneficiaries Age 75 to 84 81
Number Of Beneficiaries Age Greater 84 34
Number Of Female Beneficiaries 146
Number Of Male Beneficiaries 128
Number Of Non Hispanic White Beneficiaries 225
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 21
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 224
Number Of Beneficiaries With Medicare Medicaid Entitlement 50
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 16
Percent Of With Cancer 18
Percent Of With Heart Failure 28
Percent Of With Chronic Kidney Disease 39
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 25
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 71
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 44
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 62
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.681

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