National Provider Identifier [NPI]: |
1124056486 |
Last Name Of The Provider |
KRAMER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2525 S MICHIGAN AVE |
Street Address 2 Of The Provider |
SUITE 817 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606162333 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
4500 |
Number Of Medicare Beneficiaries |
1066 |
Total Submitted Charge Amount |
536463 |
Total Medicare Allowed Amount |
347909.37 |
Total Medicare Payment Amount |
260737.58 |
Total Medicare Standardized Payment Amount |
244942.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2001 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
20010 |
Total Drug Medicare AllowedAmount |
10956.87 |
Total Drug Medicare PaymentAmount |
8590.17 |
Total Drug Medicare Standardized Payment Amount |
8590.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2499 |
Number Of Medicare Beneficiaries With Medical Services |
1066 |
Total Medical Submitted Charge Amount |
516453 |
Total Medical Medicare Allowed Amount |
336952.5 |
Total Medical Medicare Payment Amount |
252147.41 |
Total Medical Medicare Standardized Payment Amount |
236352.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
667 |
Number Of Male Beneficiaries |
399 |
Number Of Non Hispanic White Beneficiaries |
193 |
Number Of Black or African American Beneficiaries |
732 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
510 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
556 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
27 |
Average HCC Risk Score Of Beneficiaries |
1.9086 |