| National Provider Identifier [NPI]: | 1528022191 |
| Last Name Of The Provider | KAKAVAS |
| First Name Of The Provider | PETER |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 19001 OLD LAGRANGE RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | MOKENA |
| Zip Code Of The Provider | 604488012 |
| 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 | 99 |
| Number Of Services | 72402 |
| Number Of Medicare Beneficiaries | 4458 |
| Total Submitted Charge Amount | 5261811.5 |
| Total Medicare Allowed Amount | 1440591.75 |
| Total Medicare Payment Amount | 1103533.97 |
| Total Medicare Standardized Payment Amount | 1064531.99 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 61017 |
| Number Of Medicare Beneficiaries With Drug Services | 914 |
| Total Drug Submitted ChargeAmount | 200928.5 |
| Total Drug Medicare AllowedAmount | 82084.51 |
| Total Drug Medicare PaymentAmount | 64107.67 |
| Total Drug Medicare Standardized Payment Amount | 64107.67 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 92 |
| Number Of Medical Services | 11385 |
| Number Of Medicare Beneficiaries With Medical Services | 4458 |
| Total Medical Submitted Charge Amount | 5060883 |
| Total Medical Medicare Allowed Amount | 1358507.24 |
| Total Medical Medicare Payment Amount | 1039426.3 |
| Total Medical Medicare Standardized Payment Amount | 1000424.32 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 258 |
| Number Of Beneficiaries Age 65 to 74 | 1631 |
| Number Of Beneficiaries Age 75 to 84 | 1571 |
| Number Of Beneficiaries Age Greater 84 | 998 |
| Number Of Female Beneficiaries | 2373 |
| Number Of Male Beneficiaries | 2085 |
| Number Of Non Hispanic White Beneficiaries | 4055 |
| Number Of Black or African American Beneficiaries | 195 |
| Number Of AsianPacific Islander Beneficiaries | 32 |
| Number Of Hispanic Beneficiaries | 133 |
| 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 | 4040 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 418 |
| Percent Of With Atrial Fibrillation | 35 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 72 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6629 |