National Provider Identifier [NPI]: |
1770580870 |
Last Name Of The Provider |
CHOW |
First Name Of The Provider |
MAY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5201 WILLOW SPRINGS RD |
Street Address 2 Of The Provider |
SUITE 260 |
City Of The Provider |
LA GRANGE HIGHLANDS |
Zip Code Of The Provider |
605256537 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
7547 |
Number Of Medicare Beneficiaries |
967 |
Total Submitted Charge Amount |
754009 |
Total Medicare Allowed Amount |
419691.13 |
Total Medicare Payment Amount |
319058.63 |
Total Medicare Standardized Payment Amount |
302511.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4470 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
28873 |
Total Drug Medicare AllowedAmount |
16680.58 |
Total Drug Medicare PaymentAmount |
13052.55 |
Total Drug Medicare Standardized Payment Amount |
13052.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
3077 |
Number Of Medicare Beneficiaries With Medical Services |
967 |
Total Medical Submitted Charge Amount |
725136 |
Total Medical Medicare Allowed Amount |
403010.55 |
Total Medical Medicare Payment Amount |
306006.08 |
Total Medical Medicare Standardized Payment Amount |
289459.41 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
238 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
532 |
Number Of Male Beneficiaries |
435 |
Number Of Non Hispanic White Beneficiaries |
827 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
814 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
3.4322 |