National Provider Identifier [NPI]: |
1295888105 |
Last Name Of The Provider |
ROBBINS |
First Name Of The Provider |
JOEL |
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 |
360 STATION DR |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
CRYSTAL LAKE |
Zip Code Of The Provider |
600147994 |
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 |
3257 |
Number Of Medicare Beneficiaries |
972 |
Total Submitted Charge Amount |
1082306.42 |
Total Medicare Allowed Amount |
364563.6 |
Total Medicare Payment Amount |
273742.98 |
Total Medicare Standardized Payment Amount |
281048.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
468 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
48830 |
Total Drug Medicare AllowedAmount |
19747.06 |
Total Drug Medicare PaymentAmount |
15335.03 |
Total Drug Medicare Standardized Payment Amount |
15335.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
2789 |
Number Of Medicare Beneficiaries With Medical Services |
972 |
Total Medical Submitted Charge Amount |
1033476.42 |
Total Medical Medicare Allowed Amount |
344816.54 |
Total Medical Medicare Payment Amount |
258407.95 |
Total Medical Medicare Standardized Payment Amount |
265713.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
400 |
Number Of Beneficiaries Age 75 to 84 |
368 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
492 |
Number Of Male Beneficiaries |
480 |
Number Of Non Hispanic White Beneficiaries |
940 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
908 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4895 |