National Provider Identifier [NPI]: |
1225144462 |
Last Name Of The Provider |
SOLTES |
First Name Of The Provider |
STEVEN |
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 |
4400 W 95TH ST |
Street Address 2 Of The Provider |
SUITE 304 |
City Of The Provider |
OAK LAWN |
Zip Code Of The Provider |
604532654 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
3167 |
Number Of Medicare Beneficiaries |
1196 |
Total Submitted Charge Amount |
343989.69 |
Total Medicare Allowed Amount |
310285.64 |
Total Medicare Payment Amount |
222429.66 |
Total Medicare Standardized Payment Amount |
210945.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3167 |
Number Of Medicare Beneficiaries With Medical Services |
1196 |
Total Medical Submitted Charge Amount |
343989.69 |
Total Medical Medicare Allowed Amount |
310285.64 |
Total Medical Medicare Payment Amount |
222429.66 |
Total Medical Medicare Standardized Payment Amount |
210945.2 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
482 |
Number Of Beneficiaries Age 75 to 84 |
399 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
757 |
Number Of Male Beneficiaries |
439 |
Number Of Non Hispanic White Beneficiaries |
893 |
Number Of Black or African American Beneficiaries |
214 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1035 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2965 |