National Provider Identifier [NPI]: |
1508824376 |
Last Name Of The Provider |
NAGER |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
750 EAST TERRA COTTA AVENUE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
CRYSTAL LAKE |
Zip Code Of The Provider |
60014 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
18010 |
Number Of Medicare Beneficiaries |
1045 |
Total Submitted Charge Amount |
656168 |
Total Medicare Allowed Amount |
382170.24 |
Total Medicare Payment Amount |
289162.34 |
Total Medicare Standardized Payment Amount |
283508.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
15412 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
98346 |
Total Drug Medicare AllowedAmount |
85615.74 |
Total Drug Medicare PaymentAmount |
66920.35 |
Total Drug Medicare Standardized Payment Amount |
66920.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
2598 |
Number Of Medicare Beneficiaries With Medical Services |
1044 |
Total Medical Submitted Charge Amount |
557822 |
Total Medical Medicare Allowed Amount |
296554.5 |
Total Medical Medicare Payment Amount |
222241.99 |
Total Medical Medicare Standardized Payment Amount |
216588.16 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
483 |
Number Of Beneficiaries Age 75 to 84 |
291 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
553 |
Number Of Male Beneficiaries |
492 |
Number Of Non Hispanic White Beneficiaries |
987 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
909 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.1862 |