National Provider Identifier [NPI]: |
1790712347 |
Last Name Of The Provider |
ADAMO |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 BIESTERFIELD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELK GROVE VILLAGE |
Zip Code Of The Provider |
600073311 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
281 |
Number Of Services |
6578 |
Number Of Medicare Beneficiaries |
3586 |
Total Submitted Charge Amount |
1087174 |
Total Medicare Allowed Amount |
290913.14 |
Total Medicare Payment Amount |
225563.44 |
Total Medicare Standardized Payment Amount |
210761.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
281 |
Number Of Medical Services |
6578 |
Number Of Medicare Beneficiaries With Medical Services |
3586 |
Total Medical Submitted Charge Amount |
1087174 |
Total Medical Medicare Allowed Amount |
290913.14 |
Total Medical Medicare Payment Amount |
225563.44 |
Total Medical Medicare Standardized Payment Amount |
210761.6 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
373 |
Number Of Beneficiaries Age 65 to 74 |
1331 |
Number Of Beneficiaries Age 75 to 84 |
1173 |
Number Of Beneficiaries Age Greater 84 |
709 |
Number Of Female Beneficiaries |
2214 |
Number Of Male Beneficiaries |
1372 |
Number Of Non Hispanic White Beneficiaries |
3106 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
168 |
Number Of Hispanic Beneficiaries |
193 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2910 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
676 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7902 |