National Provider Identifier [NPI]: |
1699880872 |
Last Name Of The Provider |
STEINECKER |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4400 W 95TH ST |
Street Address 2 Of The Provider |
#302 |
City Of The Provider |
OAK LAWN |
Zip Code Of The Provider |
60453 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
19463 |
Number Of Medicare Beneficiaries |
268 |
Total Submitted Charge Amount |
2122851 |
Total Medicare Allowed Amount |
580991.99 |
Total Medicare Payment Amount |
450214.89 |
Total Medicare Standardized Payment Amount |
439105.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
36 |
Number Of Drug Services |
17583 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
1427440 |
Total Drug Medicare AllowedAmount |
383054.6 |
Total Drug Medicare PaymentAmount |
300314.72 |
Total Drug Medicare Standardized Payment Amount |
300314.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
1880 |
Number Of Medicare Beneficiaries With Medical Services |
268 |
Total Medical Submitted Charge Amount |
695411 |
Total Medical Medicare Allowed Amount |
197937.39 |
Total Medical Medicare Payment Amount |
149900.17 |
Total Medical Medicare Standardized Payment Amount |
138790.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
155 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
201 |
Number Of Black or African American Beneficiaries |
51 |
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 |
224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
72 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0881 |