National Provider Identifier [NPI]: |
1699738351 |
Last Name Of The Provider |
SOOD |
First Name Of The Provider |
RAJIV |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1585 BARRINGTON RD |
Street Address 2 Of The Provider |
DOCTORS BUILDING 2 - SUITE 501 |
City Of The Provider |
HOFFMAN ESTATES |
Zip Code Of The Provider |
601691090 |
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 |
73 |
Number Of Services |
5424 |
Number Of Medicare Beneficiaries |
788 |
Total Submitted Charge Amount |
792982.56 |
Total Medicare Allowed Amount |
556564.21 |
Total Medicare Payment Amount |
420219.08 |
Total Medicare Standardized Payment Amount |
393240.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
72 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
2911.08 |
Total Drug Medicare AllowedAmount |
925.26 |
Total Drug Medicare PaymentAmount |
885.2 |
Total Drug Medicare Standardized Payment Amount |
885.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
5352 |
Number Of Medicare Beneficiaries With Medical Services |
788 |
Total Medical Submitted Charge Amount |
790071.48 |
Total Medical Medicare Allowed Amount |
555638.95 |
Total Medical Medicare Payment Amount |
419333.88 |
Total Medical Medicare Standardized Payment Amount |
392355.48 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
243 |
Number Of Beneficiaries Age 75 to 84 |
233 |
Number Of Beneficiaries Age Greater 84 |
265 |
Number Of Female Beneficiaries |
536 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
685 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
593 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8781 |