National Provider Identifier [NPI]: |
1447284989 |
Last Name Of The Provider |
BEST |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5405 N KNOXVILLE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
61614 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
5056 |
Number Of Medicare Beneficiaries |
2490 |
Total Submitted Charge Amount |
759772 |
Total Medicare Allowed Amount |
241981.76 |
Total Medicare Payment Amount |
178853.56 |
Total Medicare Standardized Payment Amount |
183681.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
260 |
Total Drug Medicare AllowedAmount |
233.74 |
Total Drug Medicare PaymentAmount |
229.06 |
Total Drug Medicare Standardized Payment Amount |
229.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
5043 |
Number Of Medicare Beneficiaries With Medical Services |
2490 |
Total Medical Submitted Charge Amount |
759512 |
Total Medical Medicare Allowed Amount |
241748.02 |
Total Medical Medicare Payment Amount |
178624.5 |
Total Medical Medicare Standardized Payment Amount |
183452.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
356 |
Number Of Beneficiaries Age 65 to 74 |
951 |
Number Of Beneficiaries Age 75 to 84 |
788 |
Number Of Beneficiaries Age Greater 84 |
395 |
Number Of Female Beneficiaries |
1148 |
Number Of Male Beneficiaries |
1342 |
Number Of Non Hispanic White Beneficiaries |
2271 |
Number Of Black or African American Beneficiaries |
148 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
2021 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
469 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8197 |