National Provider Identifier [NPI]: |
1023061108 |
Last Name Of The Provider |
ROWLEY |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3825 HIGHLAND AVE |
Street Address 2 Of The Provider |
TOWER 2 SUITE 400 |
City Of The Provider |
DOWNERS GROVE |
Zip Code Of The Provider |
605151552 |
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 |
65 |
Number Of Services |
6912 |
Number Of Medicare Beneficiaries |
1983 |
Total Submitted Charge Amount |
2406539 |
Total Medicare Allowed Amount |
912498.08 |
Total Medicare Payment Amount |
698941.92 |
Total Medicare Standardized Payment Amount |
668746.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1035 |
Number Of Medicare Beneficiaries With Drug Services |
260 |
Total Drug Submitted ChargeAmount |
81786 |
Total Drug Medicare AllowedAmount |
54703.52 |
Total Drug Medicare PaymentAmount |
42621.18 |
Total Drug Medicare Standardized Payment Amount |
42621.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
5877 |
Number Of Medicare Beneficiaries With Medical Services |
1983 |
Total Medical Submitted Charge Amount |
2324753 |
Total Medical Medicare Allowed Amount |
857794.56 |
Total Medical Medicare Payment Amount |
656320.74 |
Total Medical Medicare Standardized Payment Amount |
626125.14 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
731 |
Number Of Beneficiaries Age 75 to 84 |
737 |
Number Of Beneficiaries Age Greater 84 |
442 |
Number Of Female Beneficiaries |
966 |
Number Of Male Beneficiaries |
1017 |
Number Of Non Hispanic White Beneficiaries |
1802 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
66 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
1855 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6041 |