National Provider Identifier [NPI]: |
1245288331 |
Last Name Of The Provider |
BAJGROWICZ |
First Name Of The Provider |
JOHN |
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 |
675 W NORTH AVE |
Street Address 2 Of The Provider |
SUITE 216 |
City Of The Provider |
MELROSE PARK |
Zip Code Of The Provider |
601601634 |
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 |
61 |
Number Of Services |
14641 |
Number Of Medicare Beneficiaries |
1276 |
Total Submitted Charge Amount |
3618956 |
Total Medicare Allowed Amount |
1134279.87 |
Total Medicare Payment Amount |
855470.31 |
Total Medicare Standardized Payment Amount |
816845.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5915 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
42415 |
Total Drug Medicare AllowedAmount |
16847.27 |
Total Drug Medicare PaymentAmount |
13202.41 |
Total Drug Medicare Standardized Payment Amount |
13202.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
8726 |
Number Of Medicare Beneficiaries With Medical Services |
1276 |
Total Medical Submitted Charge Amount |
3576541 |
Total Medical Medicare Allowed Amount |
1117432.6 |
Total Medical Medicare Payment Amount |
842267.9 |
Total Medical Medicare Standardized Payment Amount |
803642.7 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
480 |
Number Of Beneficiaries Age Greater 84 |
308 |
Number Of Female Beneficiaries |
712 |
Number Of Male Beneficiaries |
564 |
Number Of Non Hispanic White Beneficiaries |
976 |
Number Of Black or African American Beneficiaries |
124 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
149 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
995 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7185 |