National Provider Identifier [NPI]: |
1740257963 |
Last Name Of The Provider |
SILVERMAN |
First Name Of The Provider |
IRWIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1713 CENTRAL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EVANSTON |
Zip Code Of The Provider |
60201 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
3910 |
Number Of Medicare Beneficiaries |
2184 |
Total Submitted Charge Amount |
507073 |
Total Medicare Allowed Amount |
186054.66 |
Total Medicare Payment Amount |
137215.35 |
Total Medicare Standardized Payment Amount |
128449.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3910 |
Number Of Medicare Beneficiaries With Medical Services |
2184 |
Total Medical Submitted Charge Amount |
507073 |
Total Medical Medicare Allowed Amount |
186054.66 |
Total Medical Medicare Payment Amount |
137215.35 |
Total Medical Medicare Standardized Payment Amount |
128449.73 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
597 |
Number Of Beneficiaries Age 75 to 84 |
804 |
Number Of Beneficiaries Age Greater 84 |
692 |
Number Of Female Beneficiaries |
1092 |
Number Of Male Beneficiaries |
1092 |
Number Of Non Hispanic White Beneficiaries |
1988 |
Number Of Black or African American Beneficiaries |
65 |
Number Of AsianPacific Islander Beneficiaries |
60 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
1979 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
205 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5712 |