National Provider Identifier [NPI]: |
1093797987 |
Last Name Of The Provider |
TSARWHAS |
First Name Of The Provider |
DEAN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
660 N WESTMORELAND RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAKE FOREST |
Zip Code Of The Provider |
600451659 |
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 |
113 |
Number Of Services |
98488 |
Number Of Medicare Beneficiaries |
899 |
Total Submitted Charge Amount |
4750793.34 |
Total Medicare Allowed Amount |
1778941.59 |
Total Medicare Payment Amount |
1388087.79 |
Total Medicare Standardized Payment Amount |
1362110.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
63 |
Number Of Drug Services |
90580 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
3883239.81 |
Total Drug Medicare AllowedAmount |
1390303.44 |
Total Drug Medicare PaymentAmount |
1089960.15 |
Total Drug Medicare Standardized Payment Amount |
1089960.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
7908 |
Number Of Medicare Beneficiaries With Medical Services |
899 |
Total Medical Submitted Charge Amount |
867553.53 |
Total Medical Medicare Allowed Amount |
388638.15 |
Total Medical Medicare Payment Amount |
298127.64 |
Total Medical Medicare Standardized Payment Amount |
272149.9 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
320 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
529 |
Number Of Male Beneficiaries |
370 |
Number Of Non Hispanic White Beneficiaries |
795 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
802 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8963 |