National Provider Identifier [NPI]: |
1407962129 |
Last Name Of The Provider |
LITTIG |
First Name Of The Provider |
TRICIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APN, CNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3650 W 95TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EVERGREEN PARK |
Zip Code Of The Provider |
608052108 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
13 |
Number Of Services |
30508 |
Number Of Medicare Beneficiaries |
335 |
Total Submitted Charge Amount |
162322 |
Total Medicare Allowed Amount |
85196 |
Total Medicare Payment Amount |
65524.77 |
Total Medicare Standardized Payment Amount |
69574.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
29380 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
65812 |
Total Drug Medicare AllowedAmount |
35582.13 |
Total Drug Medicare PaymentAmount |
27633.81 |
Total Drug Medicare Standardized Payment Amount |
27633.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
1128 |
Number Of Medicare Beneficiaries With Medical Services |
335 |
Total Medical Submitted Charge Amount |
96510 |
Total Medical Medicare Allowed Amount |
49613.87 |
Total Medical Medicare Payment Amount |
37890.96 |
Total Medical Medicare Standardized Payment Amount |
41940.26 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
280 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
289 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
4.0211 |