National Provider Identifier [NPI]: |
1336137314 |
Last Name Of The Provider |
NEMETH |
First Name Of The Provider |
STEVEN |
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 |
2100 GLENWOOD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
JOLIET |
Zip Code Of The Provider |
604355487 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
161 |
Number Of Services |
14293 |
Number Of Medicare Beneficiaries |
698 |
Total Submitted Charge Amount |
1523523.74 |
Total Medicare Allowed Amount |
721501.45 |
Total Medicare Payment Amount |
543324.76 |
Total Medicare Standardized Payment Amount |
537653.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
512 |
Number Of Medicare Beneficiaries With Drug Services |
263 |
Total Drug Submitted ChargeAmount |
43992 |
Total Drug Medicare AllowedAmount |
32461.78 |
Total Drug Medicare PaymentAmount |
31613.71 |
Total Drug Medicare Standardized Payment Amount |
31613.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
13781 |
Number Of Medicare Beneficiaries With Medical Services |
698 |
Total Medical Submitted Charge Amount |
1479531.74 |
Total Medical Medicare Allowed Amount |
689039.67 |
Total Medical Medicare Payment Amount |
511711.05 |
Total Medical Medicare Standardized Payment Amount |
506039.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
340 |
Number Of Male Beneficiaries |
358 |
Number Of Non Hispanic White Beneficiaries |
607 |
Number Of Black or African American Beneficiaries |
61 |
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 |
639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
74 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6846 |