National Provider Identifier [NPI]: |
1386803427 |
Last Name Of The Provider |
PEPLOW |
First Name Of The Provider |
ELAINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 BIESTERFIELD RD # 705A |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELK GROVE VILLAGE |
Zip Code Of The Provider |
600073361 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
4381 |
Number Of Medicare Beneficiaries |
815 |
Total Submitted Charge Amount |
735578.92 |
Total Medicare Allowed Amount |
367139.86 |
Total Medicare Payment Amount |
278283.71 |
Total Medicare Standardized Payment Amount |
264966.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
87 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
5110 |
Total Drug Medicare AllowedAmount |
2176.54 |
Total Drug Medicare PaymentAmount |
2095.87 |
Total Drug Medicare Standardized Payment Amount |
2095.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4294 |
Number Of Medicare Beneficiaries With Medical Services |
815 |
Total Medical Submitted Charge Amount |
730468.92 |
Total Medical Medicare Allowed Amount |
364963.32 |
Total Medical Medicare Payment Amount |
276187.84 |
Total Medical Medicare Standardized Payment Amount |
262871.05 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
532 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
731 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
576 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
239 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
26 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1387 |