National Provider Identifier [NPI]: |
1063567584 |
Last Name Of The Provider |
KURANI |
First Name Of The Provider |
ILA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1950 SHERIDAN ROAD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
HIGHLAND PARK |
Zip Code Of The Provider |
60035 |
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 |
30 |
Number Of Services |
2033 |
Number Of Medicare Beneficiaries |
284 |
Total Submitted Charge Amount |
320995 |
Total Medicare Allowed Amount |
156128.33 |
Total Medicare Payment Amount |
119157.89 |
Total Medicare Standardized Payment Amount |
114820.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
239 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
14115 |
Total Drug Medicare AllowedAmount |
7604.45 |
Total Drug Medicare PaymentAmount |
7266.62 |
Total Drug Medicare Standardized Payment Amount |
7266.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1794 |
Number Of Medicare Beneficiaries With Medical Services |
284 |
Total Medical Submitted Charge Amount |
306880 |
Total Medical Medicare Allowed Amount |
148523.88 |
Total Medical Medicare Payment Amount |
111891.27 |
Total Medical Medicare Standardized Payment Amount |
107553.54 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
208 |
Number Of Male Beneficiaries |
76 |
Number Of Non Hispanic White Beneficiaries |
237 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
273 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8416 |