National Provider Identifier [NPI]: |
1801897889 |
Last Name Of The Provider |
RANDAZZO |
First Name Of The Provider |
RANDALL |
Middle Initial Of The Provider |
F |
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 |
SUITE 2005 |
City Of The Provider |
ELK GROVE VILLAGE |
Zip Code Of The Provider |
600073364 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
5148 |
Number Of Medicare Beneficiaries |
978 |
Total Submitted Charge Amount |
1637014 |
Total Medicare Allowed Amount |
480756.73 |
Total Medicare Payment Amount |
365035.74 |
Total Medicare Standardized Payment Amount |
348531.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
278 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
83280 |
Total Drug Medicare AllowedAmount |
36073.32 |
Total Drug Medicare PaymentAmount |
28114.54 |
Total Drug Medicare Standardized Payment Amount |
28114.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
4870 |
Number Of Medicare Beneficiaries With Medical Services |
978 |
Total Medical Submitted Charge Amount |
1553734 |
Total Medical Medicare Allowed Amount |
444683.41 |
Total Medical Medicare Payment Amount |
336921.2 |
Total Medical Medicare Standardized Payment Amount |
320416.87 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
371 |
Number Of Beneficiaries Age 75 to 84 |
357 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
279 |
Number Of Male Beneficiaries |
699 |
Number Of Non Hispanic White Beneficiaries |
860 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
853 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5368 |