National Provider Identifier [NPI]: |
1376707513 |
Last Name Of The Provider |
HUTCHINSON |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1325 N HIGHLAND AVE |
Street Address 2 Of The Provider |
DEPT OF RADIOLOGY |
City Of The Provider |
AURORA |
Zip Code Of The Provider |
605061449 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
192 |
Number Of Services |
9374 |
Number Of Medicare Beneficiaries |
2871 |
Total Submitted Charge Amount |
1029286.78 |
Total Medicare Allowed Amount |
236398.22 |
Total Medicare Payment Amount |
181929.66 |
Total Medicare Standardized Payment Amount |
177917.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4731 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
6791 |
Total Drug Medicare AllowedAmount |
1644.22 |
Total Drug Medicare PaymentAmount |
1289.12 |
Total Drug Medicare Standardized Payment Amount |
1289.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
190 |
Number Of Medical Services |
4643 |
Number Of Medicare Beneficiaries With Medical Services |
2871 |
Total Medical Submitted Charge Amount |
1022495.78 |
Total Medical Medicare Allowed Amount |
234754 |
Total Medical Medicare Payment Amount |
180640.54 |
Total Medical Medicare Standardized Payment Amount |
176628.81 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
448 |
Number Of Beneficiaries Age 65 to 74 |
1109 |
Number Of Beneficiaries Age 75 to 84 |
855 |
Number Of Beneficiaries Age Greater 84 |
459 |
Number Of Female Beneficiaries |
1761 |
Number Of Male Beneficiaries |
1110 |
Number Of Non Hispanic White Beneficiaries |
2482 |
Number Of Black or African American Beneficiaries |
142 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
202 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2139 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
732 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6237 |