National Provider Identifier [NPI]: |
1346409935 |
Last Name Of The Provider |
SNAY |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1355 N DEARBORN ST APT 406 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606105884 |
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 |
143 |
Number Of Services |
3418 |
Number Of Medicare Beneficiaries |
2406 |
Total Submitted Charge Amount |
420161 |
Total Medicare Allowed Amount |
129810.7 |
Total Medicare Payment Amount |
99518.85 |
Total Medicare Standardized Payment Amount |
104835.72 |
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 |
143 |
Number Of Medical Services |
3418 |
Number Of Medicare Beneficiaries With Medical Services |
2406 |
Total Medical Submitted Charge Amount |
420161 |
Total Medical Medicare Allowed Amount |
129810.7 |
Total Medical Medicare Payment Amount |
99518.85 |
Total Medical Medicare Standardized Payment Amount |
104835.72 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
419 |
Number Of Beneficiaries Age 65 to 74 |
755 |
Number Of Beneficiaries Age 75 to 84 |
735 |
Number Of Beneficiaries Age Greater 84 |
497 |
Number Of Female Beneficiaries |
1354 |
Number Of Male Beneficiaries |
1052 |
Number Of Non Hispanic White Beneficiaries |
2065 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
212 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1840 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
566 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7687 |