National Provider Identifier [NPI]: |
1841238029 |
Last Name Of The Provider |
PANOZZO |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16513 106TH CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLAND PARK |
Zip Code Of The Provider |
604674545 |
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 |
87 |
Number Of Services |
7027 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
344366.43 |
Total Medicare Allowed Amount |
335888.02 |
Total Medicare Payment Amount |
250729.1 |
Total Medicare Standardized Payment Amount |
238604.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
3307 |
Number Of Medicare Beneficiaries With Drug Services |
240 |
Total Drug Submitted ChargeAmount |
42409.02 |
Total Drug Medicare AllowedAmount |
42097.6 |
Total Drug Medicare PaymentAmount |
33618.42 |
Total Drug Medicare Standardized Payment Amount |
33618.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
3720 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
301957.41 |
Total Medical Medicare Allowed Amount |
293790.42 |
Total Medical Medicare Payment Amount |
217110.68 |
Total Medical Medicare Standardized Payment Amount |
204986.17 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
546 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
544 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3454 |