National Provider Identifier [NPI]: |
1720075179 |
Last Name Of The Provider |
KADEN |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8915 W GOLF RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NILES |
Zip Code Of The Provider |
607145905 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
28948 |
Number Of Medicare Beneficiaries |
360 |
Total Submitted Charge Amount |
2400118 |
Total Medicare Allowed Amount |
830525.11 |
Total Medicare Payment Amount |
641247.27 |
Total Medicare Standardized Payment Amount |
634142.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
46 |
Number Of Drug Services |
27128 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
1933528 |
Total Drug Medicare AllowedAmount |
664110.67 |
Total Drug Medicare PaymentAmount |
519857.95 |
Total Drug Medicare Standardized Payment Amount |
519857.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
1820 |
Number Of Medicare Beneficiaries With Medical Services |
360 |
Total Medical Submitted Charge Amount |
466590 |
Total Medical Medicare Allowed Amount |
166414.44 |
Total Medical Medicare Payment Amount |
121389.32 |
Total Medical Medicare Standardized Payment Amount |
114284.34 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
237 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
340 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
336 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6936 |