National Provider Identifier [NPI]: |
1861585846 |
Last Name Of The Provider |
PICK |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 N. 1ST STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
62702 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
28004 |
Number Of Medicare Beneficiaries |
1029 |
Total Submitted Charge Amount |
832210.9 |
Total Medicare Allowed Amount |
738500.73 |
Total Medicare Payment Amount |
560469.76 |
Total Medicare Standardized Payment Amount |
567326.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
25083 |
Number Of Medicare Beneficiaries With Drug Services |
187 |
Total Drug Submitted ChargeAmount |
635504.2 |
Total Drug Medicare AllowedAmount |
568264.87 |
Total Drug Medicare PaymentAmount |
439026.96 |
Total Drug Medicare Standardized Payment Amount |
439026.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2921 |
Number Of Medicare Beneficiaries With Medical Services |
1029 |
Total Medical Submitted Charge Amount |
196706.7 |
Total Medical Medicare Allowed Amount |
170235.86 |
Total Medical Medicare Payment Amount |
121442.8 |
Total Medical Medicare Standardized Payment Amount |
128299.23 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
482 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
758 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
954 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
880 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1632 |