National Provider Identifier [NPI]: |
1881694222 |
Last Name Of The Provider |
AKRAMI |
First Name Of The Provider |
CYRUS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6703 159TH ST |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
TINLEY PARK |
Zip Code Of The Provider |
604771781 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
3625 |
Number Of Medicare Beneficiaries |
345 |
Total Submitted Charge Amount |
434598 |
Total Medicare Allowed Amount |
218358 |
Total Medicare Payment Amount |
158185.38 |
Total Medicare Standardized Payment Amount |
152061.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
229 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
9000 |
Total Drug Medicare AllowedAmount |
5696.33 |
Total Drug Medicare PaymentAmount |
5513.18 |
Total Drug Medicare Standardized Payment Amount |
5513.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3396 |
Number Of Medicare Beneficiaries With Medical Services |
345 |
Total Medical Submitted Charge Amount |
425598 |
Total Medical Medicare Allowed Amount |
212661.67 |
Total Medical Medicare Payment Amount |
152672.2 |
Total Medical Medicare Standardized Payment Amount |
146548.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
199 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
131 |
Number Of Black or African American Beneficiaries |
127 |
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 |
265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.4831 |