National Provider Identifier [NPI]: |
1497829683 |
Last Name Of The Provider |
VADAPARAMPIL |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 S STATE ST UNIT 7W |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606161450 |
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 |
145 |
Number Of Services |
7539 |
Number Of Medicare Beneficiaries |
4231 |
Total Submitted Charge Amount |
1334814 |
Total Medicare Allowed Amount |
318389.01 |
Total Medicare Payment Amount |
244582.83 |
Total Medicare Standardized Payment Amount |
243710.76 |
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 |
145 |
Number Of Medical Services |
7539 |
Number Of Medicare Beneficiaries With Medical Services |
4231 |
Total Medical Submitted Charge Amount |
1334814 |
Total Medical Medicare Allowed Amount |
318389.01 |
Total Medical Medicare Payment Amount |
244582.83 |
Total Medical Medicare Standardized Payment Amount |
243710.76 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
1249 |
Number Of Beneficiaries Age 65 to 74 |
1414 |
Number Of Beneficiaries Age 75 to 84 |
1021 |
Number Of Beneficiaries Age Greater 84 |
547 |
Number Of Female Beneficiaries |
2321 |
Number Of Male Beneficiaries |
1910 |
Number Of Non Hispanic White Beneficiaries |
2644 |
Number Of Black or African American Beneficiaries |
1408 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
108 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2842 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1389 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.3065 |