National Provider Identifier [NPI]: |
1710945852 |
Last Name Of The Provider |
MCGARRY |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3700 W 203RD ST |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
OLYMPIA FIELDS |
Zip Code Of The Provider |
604611180 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
2100 |
Number Of Medicare Beneficiaries |
710 |
Total Submitted Charge Amount |
166094.78 |
Total Medicare Allowed Amount |
162962.74 |
Total Medicare Payment Amount |
106885.37 |
Total Medicare Standardized Payment Amount |
102996.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
202 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
8576.74 |
Total Drug Medicare AllowedAmount |
8564.37 |
Total Drug Medicare PaymentAmount |
8379.65 |
Total Drug Medicare Standardized Payment Amount |
8379.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1898 |
Number Of Medicare Beneficiaries With Medical Services |
710 |
Total Medical Submitted Charge Amount |
157518.04 |
Total Medical Medicare Allowed Amount |
154398.37 |
Total Medical Medicare Payment Amount |
98505.72 |
Total Medical Medicare Standardized Payment Amount |
94616.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
336 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
387 |
Number Of Non Hispanic White Beneficiaries |
467 |
Number Of Black or African American Beneficiaries |
204 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
645 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1022 |