National Provider Identifier [NPI]: |
1437194610 |
Last Name Of The Provider |
FRANK |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
430 WARRENVILLE RD |
Street Address 2 Of The Provider |
300 |
City Of The Provider |
LISLE |
Zip Code Of The Provider |
60532 |
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 |
157 |
Number Of Services |
96957 |
Number Of Medicare Beneficiaries |
592 |
Total Submitted Charge Amount |
4154320 |
Total Medicare Allowed Amount |
1526771.46 |
Total Medicare Payment Amount |
1191398.75 |
Total Medicare Standardized Payment Amount |
1178911.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
72 |
Number Of Drug Services |
89492 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
3385334 |
Total Drug Medicare AllowedAmount |
1222589.31 |
Total Drug Medicare PaymentAmount |
952966.24 |
Total Drug Medicare Standardized Payment Amount |
952966.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
7465 |
Number Of Medicare Beneficiaries With Medical Services |
591 |
Total Medical Submitted Charge Amount |
768986 |
Total Medical Medicare Allowed Amount |
304182.15 |
Total Medical Medicare Payment Amount |
238432.51 |
Total Medical Medicare Standardized Payment Amount |
225945.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
268 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
326 |
Number Of Male Beneficiaries |
266 |
Number Of Non Hispanic White Beneficiaries |
540 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
558 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6259 |