Medicare Facts for Dr. James M. Caruso, MD


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

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