National Provider Identifier [NPI]: |
1427037043 |
Last Name Of The Provider |
NATESH |
First Name Of The Provider |
R |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD, PC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1100 ESSINGTON RD |
Street Address 2 Of The Provider |
SUITE 6 |
City Of The Provider |
JOLIET |
Zip Code Of The Provider |
604358425 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
147 |
Number Of Services |
1729 |
Number Of Medicare Beneficiaries |
684 |
Total Submitted Charge Amount |
1159123 |
Total Medicare Allowed Amount |
315377.09 |
Total Medicare Payment Amount |
243205.07 |
Total Medicare Standardized Payment Amount |
224394.29 |
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 |
147 |
Number Of Medical Services |
1729 |
Number Of Medicare Beneficiaries With Medical Services |
684 |
Total Medical Submitted Charge Amount |
1159123 |
Total Medical Medicare Allowed Amount |
315377.09 |
Total Medical Medicare Payment Amount |
243205.07 |
Total Medical Medicare Standardized Payment Amount |
224394.29 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
431 |
Number Of Male Beneficiaries |
253 |
Number Of Non Hispanic White Beneficiaries |
513 |
Number Of Black or African American Beneficiaries |
105 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
475 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.3098 |