National Provider Identifier [NPI]: |
1689612681 |
Last Name Of The Provider |
DUERINCK |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 S WASHINGTON ST |
Street Address 2 Of The Provider |
4TH FLOOR |
City Of The Provider |
NAPERVILLE |
Zip Code Of The Provider |
605407430 |
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 |
42 |
Number Of Services |
6258 |
Number Of Medicare Beneficiaries |
3349 |
Total Submitted Charge Amount |
1839025.25 |
Total Medicare Allowed Amount |
646766.54 |
Total Medicare Payment Amount |
490339.86 |
Total Medicare Standardized Payment Amount |
467717.14 |
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 |
42 |
Number Of Medical Services |
6258 |
Number Of Medicare Beneficiaries With Medical Services |
3349 |
Total Medical Submitted Charge Amount |
1839025.25 |
Total Medical Medicare Allowed Amount |
646766.54 |
Total Medical Medicare Payment Amount |
490339.86 |
Total Medical Medicare Standardized Payment Amount |
467717.14 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
1405 |
Number Of Beneficiaries Age 75 to 84 |
1193 |
Number Of Beneficiaries Age Greater 84 |
540 |
Number Of Female Beneficiaries |
1633 |
Number Of Male Beneficiaries |
1716 |
Number Of Non Hispanic White Beneficiaries |
2975 |
Number Of Black or African American Beneficiaries |
128 |
Number Of AsianPacific Islander Beneficiaries |
93 |
Number Of Hispanic Beneficiaries |
110 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
43 |
Number Of Beneficiaries With Medicare Only Entitlement |
2983 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
366 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5825 |