Medicare Facts for Dr. Carla M. Bossano, MD


National Provider Identifier [NPI]: 1194967968
Last Name Of The Provider BOSSANO
First Name Of The Provider CARLA
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 4400 W 95TH ST STE 207
Street Address 2 Of The Provider
City Of The Provider OAK LAWN
Zip Code Of The Provider 604532658
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 38
Number Of Medicare Beneficiaries 24
Total Submitted Charge Amount 11680
Total Medicare Allowed Amount 4544.89
Total Medicare Payment Amount 3377.09
Total Medicare Standardized Payment Amount 3093.36
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 17
Number Of Medical Services 38
Number Of Medicare Beneficiaries With Medical Services 24
Total Medical Submitted Charge Amount 11680
Total Medical Medicare Allowed Amount 4544.89
Total Medical Medicare Payment Amount 3377.09
Total Medical Medicare Standardized Payment Amount 3093.36
Average Age Of Beneficiaries 57
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 24
Number Of Male Beneficiaries 0
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 13
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0029

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