National Provider Identifier [NPI]: |
1972609022 |
Last Name Of The Provider |
SALGIA |
First Name Of The Provider |
RAKESH |
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 |
67 W 111TH ST |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606284247 |
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 |
26 |
Number Of Services |
2529 |
Number Of Medicare Beneficiaries |
371 |
Total Submitted Charge Amount |
256155 |
Total Medicare Allowed Amount |
223608.59 |
Total Medicare Payment Amount |
175005.93 |
Total Medicare Standardized Payment Amount |
146292.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
700 |
Total Drug Medicare AllowedAmount |
215.6 |
Total Drug Medicare PaymentAmount |
211.26 |
Total Drug Medicare Standardized Payment Amount |
211.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2515 |
Number Of Medicare Beneficiaries With Medical Services |
371 |
Total Medical Submitted Charge Amount |
255455 |
Total Medical Medicare Allowed Amount |
223392.99 |
Total Medical Medicare Payment Amount |
174794.67 |
Total Medical Medicare Standardized Payment Amount |
146080.97 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
111 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
213 |
Number Of Male Beneficiaries |
158 |
Number Of Non Hispanic White Beneficiaries |
41 |
Number Of Black or African American Beneficiaries |
316 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
130 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
44 |
Percent Of With Asthma |
38 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
73 |
Percent Of With Chronic Kidney Disease |
63 |
Percent Of With Chronic Obstructive Pulmonary Disease |
69 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
3.3283 |