National Provider Identifier [NPI]: |
1063591808 |
Last Name Of The Provider |
MILLAR |
First Name Of The Provider |
MARTHA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 COMPASS RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
GLENVIEW |
Zip Code Of The Provider |
600268000 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1543 |
Number Of Medicare Beneficiaries |
281 |
Total Submitted Charge Amount |
139638 |
Total Medicare Allowed Amount |
105122.34 |
Total Medicare Payment Amount |
81726.91 |
Total Medicare Standardized Payment Amount |
77296.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
93 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
7844 |
Total Drug Medicare AllowedAmount |
4533.86 |
Total Drug Medicare PaymentAmount |
4434.62 |
Total Drug Medicare Standardized Payment Amount |
4434.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1450 |
Number Of Medicare Beneficiaries With Medical Services |
281 |
Total Medical Submitted Charge Amount |
131794 |
Total Medical Medicare Allowed Amount |
100588.48 |
Total Medical Medicare Payment Amount |
77292.29 |
Total Medical Medicare Standardized Payment Amount |
72862.26 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
97 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
219 |
Number Of Male Beneficiaries |
62 |
Number Of Non Hispanic White Beneficiaries |
268 |
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 |
8 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
10 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7669 |