National Provider Identifier [NPI]: |
1316954134 |
Last Name Of The Provider |
ZIELINSKI |
First Name Of The Provider |
MICHAEL |
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 |
211 E CHICAGO AVE |
Street Address 2 Of The Provider |
SUITE 1050 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606112637 |
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 |
36 |
Number Of Services |
2700 |
Number Of Medicare Beneficiaries |
607 |
Total Submitted Charge Amount |
394365 |
Total Medicare Allowed Amount |
191679.51 |
Total Medicare Payment Amount |
142296.56 |
Total Medicare Standardized Payment Amount |
134258.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
256 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
9688 |
Total Drug Medicare AllowedAmount |
5135.33 |
Total Drug Medicare PaymentAmount |
4708.16 |
Total Drug Medicare Standardized Payment Amount |
4708.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2444 |
Number Of Medicare Beneficiaries With Medical Services |
607 |
Total Medical Submitted Charge Amount |
384677 |
Total Medical Medicare Allowed Amount |
186544.18 |
Total Medical Medicare Payment Amount |
137588.4 |
Total Medical Medicare Standardized Payment Amount |
129550.02 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
224 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
347 |
Number Of Non Hispanic White Beneficiaries |
559 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
11 |
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 |
592 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
39 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8953 |