National Provider Identifier [NPI]: |
1548213150 |
Last Name Of The Provider |
MUEHRCKE |
First Name Of The Provider |
ALLAN |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 ERIE CT |
Street Address 2 Of The Provider |
SUITE 4010 |
City Of The Provider |
OAK PARK |
Zip Code Of The Provider |
603022566 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
3261 |
Number Of Medicare Beneficiaries |
410 |
Total Submitted Charge Amount |
224085.22 |
Total Medicare Allowed Amount |
221208.76 |
Total Medicare Payment Amount |
164418.42 |
Total Medicare Standardized Payment Amount |
157414.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
556 |
Number Of Medicare Beneficiaries With Drug Services |
246 |
Total Drug Submitted ChargeAmount |
4614.18 |
Total Drug Medicare AllowedAmount |
4611.82 |
Total Drug Medicare PaymentAmount |
4358.28 |
Total Drug Medicare Standardized Payment Amount |
4358.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2705 |
Number Of Medicare Beneficiaries With Medical Services |
410 |
Total Medical Submitted Charge Amount |
219471.04 |
Total Medical Medicare Allowed Amount |
216596.94 |
Total Medical Medicare Payment Amount |
160060.14 |
Total Medical Medicare Standardized Payment Amount |
153056.47 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
177 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
331 |
Number Of Black or African American Beneficiaries |
57 |
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 |
380 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9643 |