National Provider Identifier [NPI]: |
1316901234 |
Last Name Of The Provider |
MAYER |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2320 HIGH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLUE ISLAND |
Zip Code Of The Provider |
604062426 |
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 |
83 |
Number Of Services |
6695 |
Number Of Medicare Beneficiaries |
1239 |
Total Submitted Charge Amount |
663596 |
Total Medicare Allowed Amount |
323206.61 |
Total Medicare Payment Amount |
246242.69 |
Total Medicare Standardized Payment Amount |
226822.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3988 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
42834 |
Total Drug Medicare AllowedAmount |
21309.47 |
Total Drug Medicare PaymentAmount |
16708.96 |
Total Drug Medicare Standardized Payment Amount |
16708.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
2707 |
Number Of Medicare Beneficiaries With Medical Services |
1239 |
Total Medical Submitted Charge Amount |
620762 |
Total Medical Medicare Allowed Amount |
301897.14 |
Total Medical Medicare Payment Amount |
229533.73 |
Total Medical Medicare Standardized Payment Amount |
210113.67 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
384 |
Number Of Beneficiaries Age 75 to 84 |
429 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
739 |
Number Of Male Beneficiaries |
500 |
Number Of Non Hispanic White Beneficiaries |
854 |
Number Of Black or African American Beneficiaries |
322 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
948 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
291 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
33 |
Average HCC Risk Score Of Beneficiaries |
2.0144 |