National Provider Identifier [NPI]: |
1508880287 |
Last Name Of The Provider |
DWARAKANATHAN |
First Name Of The Provider |
ARCOT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D.,F.A.C.E. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20201 CRAWFORD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OLYMPIA FIELDS |
Zip Code Of The Provider |
604611010 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
3057 |
Number Of Medicare Beneficiaries |
1044 |
Total Submitted Charge Amount |
278116.67 |
Total Medicare Allowed Amount |
248454.49 |
Total Medicare Payment Amount |
183139.37 |
Total Medicare Standardized Payment Amount |
174018.06 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
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Number Of Drug Services |
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Number Of Medicare Beneficiaries With Drug Services |
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Total Drug Submitted ChargeAmount |
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Total Drug Medicare AllowedAmount |
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Total Drug Medicare PaymentAmount |
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Total Drug Medicare Standardized Payment Amount |
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Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
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Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
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Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
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Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
447 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
675 |
Number Of Male Beneficiaries |
369 |
Number Of Non Hispanic White Beneficiaries |
562 |
Number Of Black or African American Beneficiaries |
399 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
775 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
269 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.718 |