National Provider Identifier [NPI]: |
1326153388 |
Last Name Of The Provider |
ERULKAR |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2101 WAUKEGAN RD |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
BANNOCKBURN |
Zip Code Of The Provider |
600151836 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
4133 |
Number Of Medicare Beneficiaries |
766 |
Total Submitted Charge Amount |
876154 |
Total Medicare Allowed Amount |
308415.28 |
Total Medicare Payment Amount |
234851.64 |
Total Medicare Standardized Payment Amount |
216331.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
890 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
19887 |
Total Drug Medicare AllowedAmount |
14781.59 |
Total Drug Medicare PaymentAmount |
11578.64 |
Total Drug Medicare Standardized Payment Amount |
11578.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
3243 |
Number Of Medicare Beneficiaries With Medical Services |
766 |
Total Medical Submitted Charge Amount |
856267 |
Total Medical Medicare Allowed Amount |
293633.69 |
Total Medical Medicare Payment Amount |
223273 |
Total Medical Medicare Standardized Payment Amount |
204752.49 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
285 |
Number Of Non Hispanic White Beneficiaries |
722 |
Number Of Black or African American Beneficiaries |
12 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
731 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1535 |