Medicare Facts for Dr. Frederick S. Fanapour, MD


National Provider Identifier [NPI]: 1407830243
Last Name Of The Provider FANAPOUR
First Name Of The Provider FREDERICK
Middle Initial Of The Provider S
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4440 W 95TH ST
Street Address 2 Of The Provider
City Of The Provider OAK LAWN
Zip Code Of The Provider 604532600
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 125
Number Of Services 4304
Number Of Medicare Beneficiaries 2809
Total Submitted Charge Amount 1020180.42
Total Medicare Allowed Amount 150243.3
Total Medicare Payment Amount 114390.85
Total Medicare Standardized Payment Amount 110154.5
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 125
Number Of Medical Services 4304
Number Of Medicare Beneficiaries With Medical Services 2809
Total Medical Submitted Charge Amount 1020180.42
Total Medical Medicare Allowed Amount 150243.3
Total Medical Medicare Payment Amount 114390.85
Total Medical Medicare Standardized Payment Amount 110154.5
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 491
Number Of Beneficiaries Age 65 to 74 875
Number Of Beneficiaries Age 75 to 84 899
Number Of Beneficiaries Age Greater 84 544
Number Of Female Beneficiaries 1656
Number Of Male Beneficiaries 1153
Number Of Non Hispanic White Beneficiaries 1705
Number Of Black or African American Beneficiaries 833
Number Of AsianPacific Islander Beneficiaries 33
Number Of Hispanic Beneficiaries 208
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1947
Number Of Beneficiaries With Medicare Medicaid Entitlement 862
Percent Of With Atrial Fibrillation 27
Percent Of With Alzheimers Disease or Dementia 27
Percent Of With Asthma 15
Percent Of With Cancer 17
Percent Of With Heart Failure 52
Percent Of With Chronic Kidney Disease 56
Percent Of With Chronic Obstructive Pulmonary Disease 37
Percent Of With Depression 33
Percent Of With Diabetes 52
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 63
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders 11
Percent Of With Stroke 20
Average HCC Risk Score Of Beneficiaries 2.3203

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