National Provider Identifier [NPI]: |
1114974441 |
Last Name Of The Provider |
SEKAR |
First Name Of The Provider |
VENKAT |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
707 N LOGAN AVE |
Street Address 2 Of The Provider |
DANVILLE POLYCLINIC, LTD. |
City Of The Provider |
DANVILLE |
Zip Code Of The Provider |
618324360 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
3392 |
Number Of Medicare Beneficiaries |
775 |
Total Submitted Charge Amount |
802730 |
Total Medicare Allowed Amount |
335581.52 |
Total Medicare Payment Amount |
255496.97 |
Total Medicare Standardized Payment Amount |
262112.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
313 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
8370 |
Total Drug Medicare AllowedAmount |
2317.84 |
Total Drug Medicare PaymentAmount |
2012.68 |
Total Drug Medicare Standardized Payment Amount |
2012.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3079 |
Number Of Medicare Beneficiaries With Medical Services |
775 |
Total Medical Submitted Charge Amount |
794360 |
Total Medical Medicare Allowed Amount |
333263.68 |
Total Medical Medicare Payment Amount |
253484.29 |
Total Medical Medicare Standardized Payment Amount |
260099.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
485 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
683 |
Number Of Black or African American Beneficiaries |
70 |
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 |
621 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3927 |