| National Provider Identifier [NPI]: | 1851377113 |
| Last Name Of The Provider | ELTERMAN |
| First Name Of The Provider | LEV |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9700 KENTON AVE |
| Street Address 2 Of The Provider | #304 |
| City Of The Provider | SKOKIE |
| Zip Code Of The Provider | 600761259 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 123 |
| Number Of Services | 14723 |
| Number Of Medicare Beneficiaries | 1383 |
| Total Submitted Charge Amount | 1803775 |
| Total Medicare Allowed Amount | 676597.8 |
| Total Medicare Payment Amount | 529696.12 |
| Total Medicare Standardized Payment Amount | 502397.6 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 2251 |
| Number Of Medicare Beneficiaries With Drug Services | 55 |
| Total Drug Submitted ChargeAmount | 174417 |
| Total Drug Medicare AllowedAmount | 63979.09 |
| Total Drug Medicare PaymentAmount | 50044.32 |
| Total Drug Medicare Standardized Payment Amount | 50044.32 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 114 |
| Number Of Medical Services | 12472 |
| Number Of Medicare Beneficiaries With Medical Services | 1383 |
| Total Medical Submitted Charge Amount | 1629358 |
| Total Medical Medicare Allowed Amount | 612618.71 |
| Total Medical Medicare Payment Amount | 479651.8 |
| Total Medical Medicare Standardized Payment Amount | 452353.28 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 90 |
| Number Of Beneficiaries Age 65 to 74 | 394 |
| Number Of Beneficiaries Age 75 to 84 | 639 |
| Number Of Beneficiaries Age Greater 84 | 260 |
| Number Of Female Beneficiaries | 354 |
| Number Of Male Beneficiaries | 1029 |
| Number Of Non Hispanic White Beneficiaries | 1153 |
| Number Of Black or African American Beneficiaries | 76 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 45 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 77 |
| Number Of Beneficiaries With Medicare Only Entitlement | 304 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1079 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.5651 |