National Provider Identifier [NPI]: |
1518044387 |
Last Name Of The Provider |
SAWLANI |
First Name Of The Provider |
ASHOK |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7447 W TALCOTT AVE |
Street Address 2 Of The Provider |
SUITE 318 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606313745 |
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 |
32 |
Number Of Services |
7794 |
Number Of Medicare Beneficiaries |
777 |
Total Submitted Charge Amount |
1280735 |
Total Medicare Allowed Amount |
660297.36 |
Total Medicare Payment Amount |
498103.53 |
Total Medicare Standardized Payment Amount |
466677.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
54 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
2660 |
Total Drug Medicare AllowedAmount |
818.3 |
Total Drug Medicare PaymentAmount |
801.42 |
Total Drug Medicare Standardized Payment Amount |
801.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
7740 |
Number Of Medicare Beneficiaries With Medical Services |
777 |
Total Medical Submitted Charge Amount |
1278075 |
Total Medical Medicare Allowed Amount |
659479.06 |
Total Medical Medicare Payment Amount |
497302.11 |
Total Medical Medicare Standardized Payment Amount |
465876.51 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
278 |
Number Of Beneficiaries Age Greater 84 |
286 |
Number Of Female Beneficiaries |
496 |
Number Of Male Beneficiaries |
281 |
Number Of Non Hispanic White Beneficiaries |
684 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
566 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9595 |