National Provider Identifier [NPI]: |
1831135862 |
Last Name Of The Provider |
ZUSKA |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 BIESTERFIELD RD |
Street Address 2 Of The Provider |
ALEXIAN BROTHERS MEDICAL CENTER |
City Of The Provider |
ELK GROVE VILLAGE |
Zip Code Of The Provider |
600073311 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
10465 |
Number Of Medicare Beneficiaries |
5609 |
Total Submitted Charge Amount |
1091071 |
Total Medicare Allowed Amount |
306880.24 |
Total Medicare Payment Amount |
232524.91 |
Total Medicare Standardized Payment Amount |
220041.47 |
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 |
179 |
Number Of Medical Services |
10465 |
Number Of Medicare Beneficiaries With Medical Services |
5609 |
Total Medical Submitted Charge Amount |
1091071 |
Total Medical Medicare Allowed Amount |
306880.24 |
Total Medical Medicare Payment Amount |
232524.91 |
Total Medical Medicare Standardized Payment Amount |
220041.47 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
566 |
Number Of Beneficiaries Age 65 to 74 |
2038 |
Number Of Beneficiaries Age 75 to 84 |
1887 |
Number Of Beneficiaries Age Greater 84 |
1118 |
Number Of Female Beneficiaries |
3359 |
Number Of Male Beneficiaries |
2250 |
Number Of Non Hispanic White Beneficiaries |
4854 |
Number Of Black or African American Beneficiaries |
113 |
Number Of AsianPacific Islander Beneficiaries |
297 |
Number Of Hispanic Beneficiaries |
262 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
4554 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1055 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6837 |