National Provider Identifier [NPI]: |
1043254840 |
Last Name Of The Provider |
REED |
First Name Of The Provider |
JODY |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3075 BOOK ROAD STE. 103 |
Street Address 2 Of The Provider |
#9134 |
City Of The Provider |
NAPERVILLE |
Zip Code Of The Provider |
60567 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
7 |
Number Of Services |
1297 |
Number Of Medicare Beneficiaries |
663 |
Total Submitted Charge Amount |
469748 |
Total Medicare Allowed Amount |
173615.2 |
Total Medicare Payment Amount |
132672.77 |
Total Medicare Standardized Payment Amount |
136312.57 |
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 |
7 |
Number Of Medical Services |
1297 |
Number Of Medicare Beneficiaries With Medical Services |
663 |
Total Medical Submitted Charge Amount |
469748 |
Total Medical Medicare Allowed Amount |
173615.2 |
Total Medical Medicare Payment Amount |
132672.77 |
Total Medical Medicare Standardized Payment Amount |
136312.57 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
221 |
Number Of Beneficiaries Age Greater 84 |
224 |
Number Of Female Beneficiaries |
444 |
Number Of Male Beneficiaries |
219 |
Number Of Non Hispanic White Beneficiaries |
348 |
Number Of Black or African American Beneficiaries |
277 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
388 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
275 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
72 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
63 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
2.5953 |