National Provider Identifier [NPI]: |
1922037225 |
Last Name Of The Provider |
NABAVI |
First Name Of The Provider |
PARVIZ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 BIESTERFIELD RD |
Street Address 2 Of The Provider |
ALEXIAN BROTHERS MEDICAL CENTER |
City Of The Provider |
ELK GROVE VILLAGE |
Zip Code Of The Provider |
600073311 |
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 |
181 |
Number Of Services |
5840 |
Number Of Medicare Beneficiaries |
3545 |
Total Submitted Charge Amount |
906160 |
Total Medicare Allowed Amount |
237362.69 |
Total Medicare Payment Amount |
181280.14 |
Total Medicare Standardized Payment Amount |
172111.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
181 |
Number Of Medical Services |
5840 |
Number Of Medicare Beneficiaries With Medical Services |
3545 |
Total Medical Submitted Charge Amount |
906160 |
Total Medical Medicare Allowed Amount |
237362.69 |
Total Medical Medicare Payment Amount |
181280.14 |
Total Medical Medicare Standardized Payment Amount |
172111.08 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
376 |
Number Of Beneficiaries Age 65 to 74 |
1255 |
Number Of Beneficiaries Age 75 to 84 |
1228 |
Number Of Beneficiaries Age Greater 84 |
686 |
Number Of Female Beneficiaries |
2054 |
Number Of Male Beneficiaries |
1491 |
Number Of Non Hispanic White Beneficiaries |
3067 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
176 |
Number Of Hispanic Beneficiaries |
178 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
55 |
Number Of Beneficiaries With Medicare Only Entitlement |
2885 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
660 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7456 |