National Provider Identifier [NPI]: |
1922110212 |
Last Name Of The Provider |
TROY |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22285 PEPPER RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
LAKE BARRINGTON |
Zip Code Of The Provider |
600100301 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
22196 |
Number Of Medicare Beneficiaries |
1159 |
Total Submitted Charge Amount |
3193075.75 |
Total Medicare Allowed Amount |
1159242.25 |
Total Medicare Payment Amount |
889164.12 |
Total Medicare Standardized Payment Amount |
876133.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
16886 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
1823579 |
Total Drug Medicare AllowedAmount |
708334.3 |
Total Drug Medicare PaymentAmount |
550706.72 |
Total Drug Medicare Standardized Payment Amount |
550706.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
5310 |
Number Of Medicare Beneficiaries With Medical Services |
1159 |
Total Medical Submitted Charge Amount |
1369496.75 |
Total Medical Medicare Allowed Amount |
450907.95 |
Total Medical Medicare Payment Amount |
338457.4 |
Total Medical Medicare Standardized Payment Amount |
325427.13 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
539 |
Number Of Beneficiaries Age 75 to 84 |
434 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
175 |
Number Of Male Beneficiaries |
984 |
Number Of Non Hispanic White Beneficiaries |
1112 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
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 |
1119 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2209 |