National Provider Identifier [NPI]: |
1417996257 |
Last Name Of The Provider |
ABARIOTIS |
First Name Of The Provider |
NICOLAOS |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7447 W TALCOTT |
Street Address 2 Of The Provider |
STE 525 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
60631 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
8026 |
Number Of Medicare Beneficiaries |
1409 |
Total Submitted Charge Amount |
2124855 |
Total Medicare Allowed Amount |
824159.25 |
Total Medicare Payment Amount |
624544.65 |
Total Medicare Standardized Payment Amount |
586149.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
811 |
Total Drug Medicare AllowedAmount |
469.34 |
Total Drug Medicare PaymentAmount |
449.95 |
Total Drug Medicare Standardized Payment Amount |
449.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
7983 |
Number Of Medicare Beneficiaries With Medical Services |
1409 |
Total Medical Submitted Charge Amount |
2124044 |
Total Medical Medicare Allowed Amount |
823689.91 |
Total Medical Medicare Payment Amount |
624094.7 |
Total Medical Medicare Standardized Payment Amount |
585699.76 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
407 |
Number Of Beneficiaries Age 75 to 84 |
547 |
Number Of Beneficiaries Age Greater 84 |
384 |
Number Of Female Beneficiaries |
742 |
Number Of Male Beneficiaries |
667 |
Number Of Non Hispanic White Beneficiaries |
1278 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1176 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
67 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9511 |