National Provider Identifier [NPI]: |
1235432634 |
Last Name Of The Provider |
SINGH |
First Name Of The Provider |
JAGADEESH |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1653 W CONGRESS PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606123833 |
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 |
83 |
Number Of Services |
12286 |
Number Of Medicare Beneficiaries |
1220 |
Total Submitted Charge Amount |
807612 |
Total Medicare Allowed Amount |
138286.06 |
Total Medicare Payment Amount |
107339.55 |
Total Medicare Standardized Payment Amount |
105651.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
10675 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
42700 |
Total Drug Medicare AllowedAmount |
1886.11 |
Total Drug Medicare PaymentAmount |
1446.23 |
Total Drug Medicare Standardized Payment Amount |
1446.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
1611 |
Number Of Medicare Beneficiaries With Medical Services |
1220 |
Total Medical Submitted Charge Amount |
764912 |
Total Medical Medicare Allowed Amount |
136399.95 |
Total Medical Medicare Payment Amount |
105893.32 |
Total Medical Medicare Standardized Payment Amount |
104205.13 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
320 |
Number Of Beneficiaries Age 65 to 74 |
490 |
Number Of Beneficiaries Age 75 to 84 |
316 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
677 |
Number Of Male Beneficiaries |
543 |
Number Of Non Hispanic White Beneficiaries |
511 |
Number Of Black or African American Beneficiaries |
491 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
168 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
693 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
527 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.4535 |