National Provider Identifier [NPI]: |
1326031832 |
Last Name Of The Provider |
NADLER |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
676 N SAINT CLAIR ST |
Street Address 2 Of The Provider |
STE 2300 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606112922 |
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 |
824 |
Number Of Medicare Beneficiaries |
194 |
Total Submitted Charge Amount |
112962 |
Total Medicare Allowed Amount |
39157.63 |
Total Medicare Payment Amount |
28174.97 |
Total Medicare Standardized Payment Amount |
27115.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
3132 |
Total Drug Medicare AllowedAmount |
2104.15 |
Total Drug Medicare PaymentAmount |
1996.53 |
Total Drug Medicare Standardized Payment Amount |
1996.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
768 |
Number Of Medicare Beneficiaries With Medical Services |
194 |
Total Medical Submitted Charge Amount |
109830 |
Total Medical Medicare Allowed Amount |
37053.48 |
Total Medical Medicare Payment Amount |
26178.44 |
Total Medical Medicare Standardized Payment Amount |
25118.73 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
108 |
Number Of Male Beneficiaries |
86 |
Number Of Non Hispanic White Beneficiaries |
171 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
8 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7075 |