Medicare Facts for Susan Glick


National Provider Identifier [NPI]: 1902969421
Last Name Of The Provider GLICK
First Name Of The Provider SUSAN
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 180 HARVESTER DR STE 110
Street Address 2 Of The Provider
City Of The Provider BURR RIDGE
Zip Code Of The Provider 605276686
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 22
Number Of Services 1047
Number Of Medicare Beneficiaries 486
Total Submitted Charge Amount 237392
Total Medicare Allowed Amount 85594.76
Total Medicare Payment Amount 60615.44
Total Medicare Standardized Payment Amount 56993.72
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 59
Number Of Medicare Beneficiaries With Drug Services 44
Total Drug Submitted ChargeAmount 11956
Total Drug Medicare AllowedAmount 4372.65
Total Drug Medicare PaymentAmount 4283.85
Total Drug Medicare Standardized Payment Amount 4283.85
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 17
Number Of Medical Services 988
Number Of Medicare Beneficiaries With Medical Services 486
Total Medical Submitted Charge Amount 225436
Total Medical Medicare Allowed Amount 81222.11
Total Medical Medicare Payment Amount 56331.59
Total Medical Medicare Standardized Payment Amount 52709.87
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 112
Number Of Beneficiaries Age 65 to 74 203
Number Of Beneficiaries Age 75 to 84 123
Number Of Beneficiaries Age Greater 84 48
Number Of Female Beneficiaries 332
Number Of Male Beneficiaries 154
Number Of Non Hispanic White Beneficiaries 109
Number Of Black or African American Beneficiaries 347
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 18
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 286
Number Of Beneficiaries With Medicare Medicaid Entitlement 200
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 12
Percent Of With Cancer 12
Percent Of With Heart Failure 31
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 21
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.7234

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