National Provider Identifier [NPI]: |
1841467347 |
Last Name Of The Provider |
MULLER |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2160 S 1ST AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MAYWOOD |
Zip Code Of The Provider |
601533328 |
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 |
55 |
Number Of Services |
2400 |
Number Of Medicare Beneficiaries |
932 |
Total Submitted Charge Amount |
853100.15 |
Total Medicare Allowed Amount |
222840.33 |
Total Medicare Payment Amount |
164885.55 |
Total Medicare Standardized Payment Amount |
164947.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
141 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
9336.15 |
Total Drug Medicare AllowedAmount |
7325.22 |
Total Drug Medicare PaymentAmount |
5742.91 |
Total Drug Medicare Standardized Payment Amount |
5742.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2259 |
Number Of Medicare Beneficiaries With Medical Services |
932 |
Total Medical Submitted Charge Amount |
843764 |
Total Medical Medicare Allowed Amount |
215515.11 |
Total Medical Medicare Payment Amount |
159142.64 |
Total Medical Medicare Standardized Payment Amount |
159204.13 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
408 |
Number Of Beneficiaries Age 75 to 84 |
314 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
440 |
Number Of Male Beneficiaries |
492 |
Number Of Non Hispanic White Beneficiaries |
868 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
815 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3527 |