National Provider Identifier [NPI]: |
1982623401 |
Last Name Of The Provider |
NADLER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
680 N LAKE SHORE DR |
Street Address 2 Of The Provider |
SUITE 1000 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606114546 |
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 |
103 |
Number Of Services |
5142 |
Number Of Medicare Beneficiaries |
1031 |
Total Submitted Charge Amount |
2154463 |
Total Medicare Allowed Amount |
444833.86 |
Total Medicare Payment Amount |
331563.32 |
Total Medicare Standardized Payment Amount |
312433.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
268 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
202399 |
Total Drug Medicare AllowedAmount |
51724.04 |
Total Drug Medicare PaymentAmount |
39961.39 |
Total Drug Medicare Standardized Payment Amount |
39961.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
4874 |
Number Of Medicare Beneficiaries With Medical Services |
1031 |
Total Medical Submitted Charge Amount |
1952064 |
Total Medical Medicare Allowed Amount |
393109.82 |
Total Medical Medicare Payment Amount |
291601.93 |
Total Medical Medicare Standardized Payment Amount |
272472.27 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
511 |
Number Of Beneficiaries Age 75 to 84 |
303 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
839 |
Number Of Non Hispanic White Beneficiaries |
747 |
Number Of Black or African American Beneficiaries |
161 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
870 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
29 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4864 |