National Provider Identifier [NPI]: |
1750493540 |
Last Name Of The Provider |
BECKER |
First Name Of The Provider |
CECILE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 N. 1ST STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
62702 |
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 |
49 |
Number Of Services |
25966 |
Number Of Medicare Beneficiaries |
813 |
Total Submitted Charge Amount |
379132.83 |
Total Medicare Allowed Amount |
322806.71 |
Total Medicare Payment Amount |
232832.98 |
Total Medicare Standardized Payment Amount |
233682.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
24115 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
152517.17 |
Total Drug Medicare AllowedAmount |
132293.3 |
Total Drug Medicare PaymentAmount |
93071.2 |
Total Drug Medicare Standardized Payment Amount |
93071.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1851 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
226615.66 |
Total Medical Medicare Allowed Amount |
190513.41 |
Total Medical Medicare Payment Amount |
139761.78 |
Total Medical Medicare Standardized Payment Amount |
140611.54 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
246 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
470 |
Number Of Male Beneficiaries |
343 |
Number Of Non Hispanic White Beneficiaries |
770 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
628 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
185 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.2548 |