Medicare Facts for Dr. Konstantin S. Dzamashvili, MD


National Provider Identifier [NPI]: 1174529085
Last Name Of The Provider DZAMASHVILI
First Name Of The Provider KONSTANTIN
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 25 N. WINFIELD RD.
Street Address 2 Of The Provider
City Of The Provider WINFIELD
Zip Code Of The Provider 601901295
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 29
Number Of Services 8918
Number Of Medicare Beneficiaries 872
Total Submitted Charge Amount 631165
Total Medicare Allowed Amount 307150.21
Total Medicare Payment Amount 230348.18
Total Medicare Standardized Payment Amount 222865.37
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 6825
Number Of Medicare Beneficiaries With Drug Services 22
Total Drug Submitted ChargeAmount 95740
Total Drug Medicare AllowedAmount 37497.64
Total Drug Medicare PaymentAmount 28517.04
Total Drug Medicare Standardized Payment Amount 28517.04
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 2093
Number Of Medicare Beneficiaries With Medical Services 872
Total Medical Submitted Charge Amount 535425
Total Medical Medicare Allowed Amount 269652.57
Total Medical Medicare Payment Amount 201831.14
Total Medical Medicare Standardized Payment Amount 194348.33
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 159
Number Of Beneficiaries Age 65 to 74 295
Number Of Beneficiaries Age 75 to 84 258
Number Of Beneficiaries Age Greater 84 160
Number Of Female Beneficiaries 508
Number Of Male Beneficiaries 364
Number Of Non Hispanic White Beneficiaries 760
Number Of Black or African American Beneficiaries 31
Number Of AsianPacific Islander Beneficiaries 22
Number Of Hispanic Beneficiaries 46
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 679
Number Of Beneficiaries With Medicare Medicaid Entitlement 193
Percent Of With Atrial Fibrillation 22
Percent Of With Alzheimers Disease or Dementia 26
Percent Of With Asthma 10
Percent Of With Cancer 13
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 41
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders 17
Percent Of With Stroke 48
Average HCC Risk Score Of Beneficiaries 1.5888

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