National Provider Identifier [NPI]: |
1972559334 |
Last Name Of The Provider |
MASON |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 BIESTERFIELD RD STE G01 |
Street Address 2 Of The Provider |
WIMMER BUILDING |
City Of The Provider |
ELK GROVE VILLAGE |
Zip Code Of The Provider |
600073372 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3968 |
Number Of Medicare Beneficiaries |
1858 |
Total Submitted Charge Amount |
589782 |
Total Medicare Allowed Amount |
268061.82 |
Total Medicare Payment Amount |
197087.97 |
Total Medicare Standardized Payment Amount |
186023.05 |
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 |
46 |
Number Of Medical Services |
3968 |
Number Of Medicare Beneficiaries With Medical Services |
1858 |
Total Medical Submitted Charge Amount |
589782 |
Total Medical Medicare Allowed Amount |
268061.82 |
Total Medical Medicare Payment Amount |
197087.97 |
Total Medical Medicare Standardized Payment Amount |
186023.05 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
657 |
Number Of Beneficiaries Age 75 to 84 |
726 |
Number Of Beneficiaries Age Greater 84 |
362 |
Number Of Female Beneficiaries |
942 |
Number Of Male Beneficiaries |
916 |
Number Of Non Hispanic White Beneficiaries |
1683 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
64 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1650 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6268 |