Medicare Facts for Eric W. Vickrey, PA


National Provider Identifier [NPI]: 1548212111
Last Name Of The Provider VICKREY
First Name Of The Provider ERIC
Middle Initial Of The Provider W
Credentials Of The Provider P.A.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 676 N SAINT CLAIR ST
Street Address 2 Of The Provider SUITE 850
City Of The Provider CHICAGO
Zip Code Of The Provider 606112927
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 30
Number Of Services 303
Number Of Medicare Beneficiaries 241
Total Submitted Charge Amount 93574
Total Medicare Allowed Amount 22250.71
Total Medicare Payment Amount 16804.99
Total Medicare Standardized Payment Amount 19424.28
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 30
Number Of Medical Services 303
Number Of Medicare Beneficiaries With Medical Services 241
Total Medical Submitted Charge Amount 93574
Total Medical Medicare Allowed Amount 22250.71
Total Medical Medicare Payment Amount 16804.99
Total Medical Medicare Standardized Payment Amount 19424.28
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 86
Number Of Beneficiaries Age 65 to 74 69
Number Of Beneficiaries Age 75 to 84 57
Number Of Beneficiaries Age Greater 84 29
Number Of Female Beneficiaries 156
Number Of Male Beneficiaries 85
Number Of Non Hispanic White Beneficiaries 189
Number Of Black or African American Beneficiaries 14
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 22
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 143
Number Of Beneficiaries With Medicare Medicaid Entitlement 98
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 12
Percent Of With Cancer 6
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 30
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 45
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.3074

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