National Provider Identifier [NPI]: |
1609863281 |
Last Name Of The Provider |
RICH |
First Name Of The Provider |
RANDY |
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 |
880 W CENTRAL RD |
Street Address 2 Of The Provider |
SUITE 8200 |
City Of The Provider |
ARLINGTON HEIGHTS |
Zip Code Of The Provider |
600052355 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
193612 |
Number Of Medicare Beneficiaries |
715 |
Total Submitted Charge Amount |
9111406 |
Total Medicare Allowed Amount |
2746115.97 |
Total Medicare Payment Amount |
2147566.73 |
Total Medicare Standardized Payment Amount |
2116376.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
67 |
Number Of Drug Services |
182658 |
Number Of Medicare Beneficiaries With Drug Services |
283 |
Total Drug Submitted ChargeAmount |
7523724 |
Total Drug Medicare AllowedAmount |
2242704.58 |
Total Drug Medicare PaymentAmount |
1753606.71 |
Total Drug Medicare Standardized Payment Amount |
1753606.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
10954 |
Number Of Medicare Beneficiaries With Medical Services |
715 |
Total Medical Submitted Charge Amount |
1587682 |
Total Medical Medicare Allowed Amount |
503411.39 |
Total Medical Medicare Payment Amount |
393960.02 |
Total Medical Medicare Standardized Payment Amount |
362769.82 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
393 |
Number Of Male Beneficiaries |
322 |
Number Of Non Hispanic White Beneficiaries |
665 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
654 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8899 |