National Provider Identifier [NPI]: |
1992790182 |
Last Name Of The Provider |
JAGER |
First Name Of The Provider |
RAMA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6320 159TH ST |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
OAK FOREST |
Zip Code Of The Provider |
604522776 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
12255 |
Number Of Medicare Beneficiaries |
834 |
Total Submitted Charge Amount |
5098893.38 |
Total Medicare Allowed Amount |
3018272.28 |
Total Medicare Payment Amount |
2336323.78 |
Total Medicare Standardized Payment Amount |
2276432.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
4935 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
2239693.98 |
Total Drug Medicare AllowedAmount |
2082943.18 |
Total Drug Medicare PaymentAmount |
1624347.85 |
Total Drug Medicare Standardized Payment Amount |
1624347.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
7320 |
Number Of Medicare Beneficiaries With Medical Services |
834 |
Total Medical Submitted Charge Amount |
2859199.4 |
Total Medical Medicare Allowed Amount |
935329.1 |
Total Medical Medicare Payment Amount |
711975.93 |
Total Medical Medicare Standardized Payment Amount |
652084.4 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
309 |
Number Of Non Hispanic White Beneficiaries |
673 |
Number Of Black or African American Beneficiaries |
105 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
754 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3549 |