Medicare Facts for Dr. Thomas H. Fendon, MD


National Provider Identifier [NPI]: 1225124910
Last Name Of The Provider FENDON
First Name Of The Provider THOMAS
Middle Initial Of The Provider H
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 901 CENTER ST
Street Address 2 Of The Provider SUITE 3002
City Of The Provider ELGIN
Zip Code Of The Provider 601202104
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Plastic and Reconstructive Surgery
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 1332
Number Of Medicare Beneficiaries 146
Total Submitted Charge Amount 209994
Total Medicare Allowed Amount 75262.29
Total Medicare Payment Amount 58947.97
Total Medicare Standardized Payment Amount 55862.96
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 25
Number Of Medical Services 1332
Number Of Medicare Beneficiaries With Medical Services 146
Total Medical Submitted Charge Amount 209994
Total Medical Medicare Allowed Amount 75262.29
Total Medical Medicare Payment Amount 58947.97
Total Medical Medicare Standardized Payment Amount 55862.96
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 42
Number Of Beneficiaries Age 75 to 84 52
Number Of Beneficiaries Age Greater 84 36
Number Of Female Beneficiaries 77
Number Of Male Beneficiaries 69
Number Of Non Hispanic White Beneficiaries 130
Number Of Black or African American Beneficiaries
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 111
Number Of Beneficiaries With Medicare Medicaid Entitlement 35
Percent Of With Atrial Fibrillation 28
Percent Of With Alzheimers Disease or Dementia 23
Percent Of With Asthma
Percent Of With Cancer 14
Percent Of With Heart Failure 38
Percent Of With Chronic Kidney Disease 47
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 27
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 51
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 2.796

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