National Provider Identifier [NPI]: |
1568488708 |
Last Name Of The Provider |
HEKIMOGLU |
First Name Of The Provider |
CETIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6701 159TH ST |
Street Address 2 Of The Provider |
SUITE 140 |
City Of The Provider |
TINLEY PARK |
Zip Code Of The Provider |
604771758 |
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 |
62 |
Number Of Services |
3862 |
Number Of Medicare Beneficiaries |
418 |
Total Submitted Charge Amount |
469719.86 |
Total Medicare Allowed Amount |
312704.95 |
Total Medicare Payment Amount |
239254.38 |
Total Medicare Standardized Payment Amount |
257711.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
577 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
5825.86 |
Total Drug Medicare AllowedAmount |
2596.76 |
Total Drug Medicare PaymentAmount |
2386.88 |
Total Drug Medicare Standardized Payment Amount |
2386.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
3285 |
Number Of Medicare Beneficiaries With Medical Services |
418 |
Total Medical Submitted Charge Amount |
463894 |
Total Medical Medicare Allowed Amount |
310108.19 |
Total Medical Medicare Payment Amount |
236867.5 |
Total Medical Medicare Standardized Payment Amount |
255324.4 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
64 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
235 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
386 |
Number Of Black or African American Beneficiaries |
|
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 |
181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
237 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5445 |