National Provider Identifier [NPI]: |
1225181068 |
Last Name Of The Provider |
DRURY |
First Name Of The Provider |
BRIDGET |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 BIESTERFIELD RD |
Street Address 2 Of The Provider |
SUITE 505 |
City Of The Provider |
ELK GROVE VILLAGE |
Zip Code Of The Provider |
600073311 |
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 |
37 |
Number Of Services |
4129 |
Number Of Medicare Beneficiaries |
761 |
Total Submitted Charge Amount |
382442 |
Total Medicare Allowed Amount |
277651.7 |
Total Medicare Payment Amount |
207213.15 |
Total Medicare Standardized Payment Amount |
187369.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
131 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
3275 |
Total Drug Medicare AllowedAmount |
2016.96 |
Total Drug Medicare PaymentAmount |
1976.36 |
Total Drug Medicare Standardized Payment Amount |
1976.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3998 |
Number Of Medicare Beneficiaries With Medical Services |
761 |
Total Medical Submitted Charge Amount |
379167 |
Total Medical Medicare Allowed Amount |
275634.74 |
Total Medical Medicare Payment Amount |
205236.79 |
Total Medical Medicare Standardized Payment Amount |
185393.21 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
576 |
Number Of Male Beneficiaries |
185 |
Number Of Non Hispanic White Beneficiaries |
717 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
713 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4087 |