National Provider Identifier [NPI]: |
1518074087 |
Last Name Of The Provider |
HAMILTON |
First Name Of The Provider |
CLAUDE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 RENAISSANCE DR |
Street Address 2 Of The Provider |
SUITE 216 |
City Of The Provider |
PARK RIDGE |
Zip Code Of The Provider |
600681329 |
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 |
9 |
Number Of Services |
3089 |
Number Of Medicare Beneficiaries |
737 |
Total Submitted Charge Amount |
475485 |
Total Medicare Allowed Amount |
295854.09 |
Total Medicare Payment Amount |
220778.75 |
Total Medicare Standardized Payment Amount |
210856.05 |
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 |
9 |
Number Of Medical Services |
3089 |
Number Of Medicare Beneficiaries With Medical Services |
737 |
Total Medical Submitted Charge Amount |
475485 |
Total Medical Medicare Allowed Amount |
295854.09 |
Total Medical Medicare Payment Amount |
220778.75 |
Total Medical Medicare Standardized Payment Amount |
210856.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
126 |
Number Of Black or African American Beneficiaries |
542 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
461 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
29 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0564 |