Medicare Facts for Dr. Richard A. Higgins, MD


National Provider Identifier [NPI]: 1679551139
Last Name Of The Provider HIGGINS
First Name Of The Provider RICHARD
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1450 BUSCH PARKWAY
Street Address 2 Of The Provider
City Of The Provider BUFFALO GROVE
Zip Code Of The Provider 600894541
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 35
Number Of Services 1730
Number Of Medicare Beneficiaries 473
Total Submitted Charge Amount 194486
Total Medicare Allowed Amount 109658.12
Total Medicare Payment Amount 78206.76
Total Medicare Standardized Payment Amount 74275.56
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 179
Number Of Medicare Beneficiaries With Drug Services 133
Total Drug Submitted ChargeAmount 4503
Total Drug Medicare AllowedAmount 3221.28
Total Drug Medicare PaymentAmount 3074.38
Total Drug Medicare Standardized Payment Amount 3074.38
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 1551
Number Of Medicare Beneficiaries With Medical Services 473
Total Medical Submitted Charge Amount 189983
Total Medical Medicare Allowed Amount 106436.84
Total Medical Medicare Payment Amount 75132.38
Total Medical Medicare Standardized Payment Amount 71201.18
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74 243
Number Of Beneficiaries Age 75 to 84 139
Number Of Beneficiaries Age Greater 84 71
Number Of Female Beneficiaries 234
Number Of Male Beneficiaries 239
Number Of Non Hispanic White Beneficiaries 440
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 14
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 452
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 10
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.8775

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