National Provider Identifier [NPI]: |
1457339046 |
Last Name Of The Provider |
WOLF |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9301 GOLF RD |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
DES PLAINES |
Zip Code Of The Provider |
600161667 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
10243 |
Number Of Medicare Beneficiaries |
760 |
Total Submitted Charge Amount |
623369 |
Total Medicare Allowed Amount |
287559.18 |
Total Medicare Payment Amount |
220180.29 |
Total Medicare Standardized Payment Amount |
207925.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
8100 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
185155 |
Total Drug Medicare AllowedAmount |
81049.68 |
Total Drug Medicare PaymentAmount |
63312.39 |
Total Drug Medicare Standardized Payment Amount |
63312.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2143 |
Number Of Medicare Beneficiaries With Medical Services |
760 |
Total Medical Submitted Charge Amount |
438214 |
Total Medical Medicare Allowed Amount |
206509.5 |
Total Medical Medicare Payment Amount |
156867.9 |
Total Medical Medicare Standardized Payment Amount |
144613.13 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
246 |
Number Of Beneficiaries Age 75 to 84 |
277 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
422 |
Number Of Male Beneficiaries |
338 |
Number Of Non Hispanic White Beneficiaries |
689 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
621 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
31 |
Average HCC Risk Score Of Beneficiaries |
1.4763 |