National Provider Identifier [NPI]: |
1174553176 |
Last Name Of The Provider |
SCHIAPPA |
First Name Of The Provider |
DEBORAH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1555 N. BARRINGTON RD. |
Street Address 2 Of The Provider |
DOB 3, SUITE 4100 |
City Of The Provider |
HOFFMAN ESTATES |
Zip Code Of The Provider |
60169 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
13852 |
Number Of Medicare Beneficiaries |
723 |
Total Submitted Charge Amount |
1028217.5 |
Total Medicare Allowed Amount |
518824.73 |
Total Medicare Payment Amount |
404756.15 |
Total Medicare Standardized Payment Amount |
383071.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
10076 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
261661.5 |
Total Drug Medicare AllowedAmount |
45167.88 |
Total Drug Medicare PaymentAmount |
35352.18 |
Total Drug Medicare Standardized Payment Amount |
35352.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
3776 |
Number Of Medicare Beneficiaries With Medical Services |
723 |
Total Medical Submitted Charge Amount |
766556 |
Total Medical Medicare Allowed Amount |
473656.85 |
Total Medical Medicare Payment Amount |
369403.97 |
Total Medical Medicare Standardized Payment Amount |
347718.93 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
229 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
418 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
602 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
490 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
72 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
3.2679 |