National Provider Identifier [NPI]: |
1033229224 |
Last Name Of The Provider |
HOVIS |
First Name Of The Provider |
ROBIN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 N ROCKTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKFORD |
Zip Code Of The Provider |
611033619 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
11764 |
Number Of Medicare Beneficiaries |
854 |
Total Submitted Charge Amount |
553393.99 |
Total Medicare Allowed Amount |
233170.18 |
Total Medicare Payment Amount |
171316.34 |
Total Medicare Standardized Payment Amount |
175272.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
9855 |
Number Of Medicare Beneficiaries With Drug Services |
282 |
Total Drug Submitted ChargeAmount |
194246 |
Total Drug Medicare AllowedAmount |
91573.28 |
Total Drug Medicare PaymentAmount |
71019.95 |
Total Drug Medicare Standardized Payment Amount |
71019.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1909 |
Number Of Medicare Beneficiaries With Medical Services |
854 |
Total Medical Submitted Charge Amount |
359147.99 |
Total Medical Medicare Allowed Amount |
141596.9 |
Total Medical Medicare Payment Amount |
100296.39 |
Total Medical Medicare Standardized Payment Amount |
104252.79 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
221 |
Number Of Beneficiaries Age 65 to 74 |
338 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
679 |
Number Of Male Beneficiaries |
175 |
Number Of Non Hispanic White Beneficiaries |
706 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
626 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.182 |