National Provider Identifier [NPI]: |
1811948185 |
Last Name Of The Provider |
ZECEVIC-STERNIC |
First Name Of The Provider |
VESNA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7447 W TALCOTT AVE |
Street Address 2 Of The Provider |
#507 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606313745 |
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 |
76 |
Number Of Services |
4574 |
Number Of Medicare Beneficiaries |
504 |
Total Submitted Charge Amount |
659106 |
Total Medicare Allowed Amount |
275264.44 |
Total Medicare Payment Amount |
205344.49 |
Total Medicare Standardized Payment Amount |
195634.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
373 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
9978 |
Total Drug Medicare AllowedAmount |
4327.44 |
Total Drug Medicare PaymentAmount |
4133.36 |
Total Drug Medicare Standardized Payment Amount |
4133.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
4201 |
Number Of Medicare Beneficiaries With Medical Services |
504 |
Total Medical Submitted Charge Amount |
649128 |
Total Medical Medicare Allowed Amount |
270937 |
Total Medical Medicare Payment Amount |
201211.13 |
Total Medical Medicare Standardized Payment Amount |
191501.06 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
131 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
480 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
468 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2539 |