National Provider Identifier [NPI]: |
1811901929 |
Last Name Of The Provider |
COURI |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 NE GLEN OAK AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
616034314 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
8959 |
Number Of Medicare Beneficiaries |
778 |
Total Submitted Charge Amount |
366680.8 |
Total Medicare Allowed Amount |
186896.78 |
Total Medicare Payment Amount |
131234.25 |
Total Medicare Standardized Payment Amount |
132465.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6605 |
Number Of Medicare Beneficiaries With Drug Services |
337 |
Total Drug Submitted ChargeAmount |
70103.6 |
Total Drug Medicare AllowedAmount |
41008.3 |
Total Drug Medicare PaymentAmount |
31136.52 |
Total Drug Medicare Standardized Payment Amount |
31136.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2354 |
Number Of Medicare Beneficiaries With Medical Services |
777 |
Total Medical Submitted Charge Amount |
296577.2 |
Total Medical Medicare Allowed Amount |
145888.48 |
Total Medical Medicare Payment Amount |
100097.73 |
Total Medical Medicare Standardized Payment Amount |
101328.95 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
302 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
588 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
730 |
Number Of Black or African American Beneficiaries |
34 |
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 |
632 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3118 |