National Provider Identifier [NPI]: |
1770630212 |
Last Name Of The Provider |
ROBBINS |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1535 LAKE COOK RD |
Street Address 2 Of The Provider |
SUITE 506 |
City Of The Provider |
NORTHBROOK |
Zip Code Of The Provider |
600621447 |
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 |
8 |
Number Of Services |
5004 |
Number Of Medicare Beneficiaries |
211 |
Total Submitted Charge Amount |
114035.5 |
Total Medicare Allowed Amount |
101735.48 |
Total Medicare Payment Amount |
76617.17 |
Total Medicare Standardized Payment Amount |
74920.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4326 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
25482.5 |
Total Drug Medicare AllowedAmount |
22515.35 |
Total Drug Medicare PaymentAmount |
17652.08 |
Total Drug Medicare Standardized Payment Amount |
17652.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
6 |
Number Of Medical Services |
678 |
Number Of Medicare Beneficiaries With Medical Services |
211 |
Total Medical Submitted Charge Amount |
88553 |
Total Medical Medicare Allowed Amount |
79220.13 |
Total Medical Medicare Payment Amount |
58965.09 |
Total Medical Medicare Standardized Payment Amount |
57268.61 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
165 |
Number Of Male Beneficiaries |
46 |
Number Of Non Hispanic White Beneficiaries |
199 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
23 |
Percent Of With Diabetes |
10 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
38 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7362 |