National Provider Identifier [NPI]: |
1073513305 |
Last Name Of The Provider |
ATLAS |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6374 N LINCOLN AVE |
Street Address 2 Of The Provider |
SUITE 312 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606591275 |
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 |
29 |
Number Of Services |
3999 |
Number Of Medicare Beneficiaries |
310 |
Total Submitted Charge Amount |
383158 |
Total Medicare Allowed Amount |
156491.48 |
Total Medicare Payment Amount |
111192.09 |
Total Medicare Standardized Payment Amount |
105522.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
145 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
3658 |
Total Drug Medicare AllowedAmount |
1494.11 |
Total Drug Medicare PaymentAmount |
1435.04 |
Total Drug Medicare Standardized Payment Amount |
1435.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
3854 |
Number Of Medicare Beneficiaries With Medical Services |
310 |
Total Medical Submitted Charge Amount |
379500 |
Total Medical Medicare Allowed Amount |
154997.37 |
Total Medical Medicare Payment Amount |
109757.05 |
Total Medical Medicare Standardized Payment Amount |
104087.44 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
93 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
112 |
Number Of Non Hispanic White Beneficiaries |
248 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
277 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3162 |