National Provider Identifier [NPI]: |
1285620484 |
Last Name Of The Provider |
KASKEL |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 HOLLISTER DR |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
LIBERTYVILLE |
Zip Code Of The Provider |
600485263 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
811 |
Number Of Medicare Beneficiaries |
217 |
Total Submitted Charge Amount |
104792 |
Total Medicare Allowed Amount |
41317.44 |
Total Medicare Payment Amount |
30110.7 |
Total Medicare Standardized Payment Amount |
28473.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
187 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
6183 |
Total Drug Medicare AllowedAmount |
2579.94 |
Total Drug Medicare PaymentAmount |
2421.91 |
Total Drug Medicare Standardized Payment Amount |
2421.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
624 |
Number Of Medicare Beneficiaries With Medical Services |
217 |
Total Medical Submitted Charge Amount |
98609 |
Total Medical Medicare Allowed Amount |
38737.5 |
Total Medical Medicare Payment Amount |
27688.79 |
Total Medical Medicare Standardized Payment Amount |
26051.13 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
46 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
101 |
Number Of Male Beneficiaries |
116 |
Number Of Non Hispanic White Beneficiaries |
198 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
7 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7394 |