National Provider Identifier [NPI]: |
1275524449 |
Last Name Of The Provider |
CARUSO |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2408 SHAKER CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPERVILLE |
Zip Code Of The Provider |
605648449 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
7170 |
Number Of Medicare Beneficiaries |
1044 |
Total Submitted Charge Amount |
1288607.85 |
Total Medicare Allowed Amount |
862783.59 |
Total Medicare Payment Amount |
655712.39 |
Total Medicare Standardized Payment Amount |
634610.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
290 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
8355 |
Total Drug Medicare AllowedAmount |
508.22 |
Total Drug Medicare PaymentAmount |
399.63 |
Total Drug Medicare Standardized Payment Amount |
399.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
6880 |
Number Of Medicare Beneficiaries With Medical Services |
1044 |
Total Medical Submitted Charge Amount |
1280252.85 |
Total Medical Medicare Allowed Amount |
862275.37 |
Total Medical Medicare Payment Amount |
655312.76 |
Total Medical Medicare Standardized Payment Amount |
634210.55 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
288 |
Number Of Beneficiaries Age 65 to 74 |
366 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
600 |
Number Of Male Beneficiaries |
444 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
527 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
378 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
333 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
711 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
71 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8022 |