National Provider Identifier [NPI]: |
1740397892 |
Last Name Of The Provider |
KWOK |
First Name Of The Provider |
WAILAM |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2040 OGDEN AVE |
Street Address 2 Of The Provider |
STE 401 |
City Of The Provider |
AURORA |
Zip Code Of The Provider |
605047206 |
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 |
76 |
Number Of Services |
4964 |
Number Of Medicare Beneficiaries |
1201 |
Total Submitted Charge Amount |
988868.2 |
Total Medicare Allowed Amount |
440939.03 |
Total Medicare Payment Amount |
325013.1 |
Total Medicare Standardized Payment Amount |
313919.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
502 |
Number Of Medicare Beneficiaries With Drug Services |
208 |
Total Drug Submitted ChargeAmount |
38532 |
Total Drug Medicare AllowedAmount |
22679.84 |
Total Drug Medicare PaymentAmount |
17760.03 |
Total Drug Medicare Standardized Payment Amount |
17760.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
4462 |
Number Of Medicare Beneficiaries With Medical Services |
1199 |
Total Medical Submitted Charge Amount |
950336.2 |
Total Medical Medicare Allowed Amount |
418259.19 |
Total Medical Medicare Payment Amount |
307253.07 |
Total Medical Medicare Standardized Payment Amount |
296159.57 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
590 |
Number Of Beneficiaries Age 75 to 84 |
384 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
529 |
Number Of Male Beneficiaries |
672 |
Number Of Non Hispanic White Beneficiaries |
1011 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
87 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1055 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4114 |