National Provider Identifier [NPI]: |
1346286242 |
Last Name Of The Provider |
PANELLA |
First Name Of The Provider |
JOSEPH |
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 |
2100 PFINGSTEN RD |
Street Address 2 Of The Provider |
DEPARTMENT OF RADIOLOGY |
City Of The Provider |
GLENVIEW |
Zip Code Of The Provider |
600261301 |
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 |
112 |
Number Of Services |
7065 |
Number Of Medicare Beneficiaries |
4909 |
Total Submitted Charge Amount |
591109.5 |
Total Medicare Allowed Amount |
178314.33 |
Total Medicare Payment Amount |
133195.79 |
Total Medicare Standardized Payment Amount |
124699.33 |
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 |
112 |
Number Of Medical Services |
7065 |
Number Of Medicare Beneficiaries With Medical Services |
4909 |
Total Medical Submitted Charge Amount |
591109.5 |
Total Medical Medicare Allowed Amount |
178314.33 |
Total Medical Medicare Payment Amount |
133195.79 |
Total Medical Medicare Standardized Payment Amount |
124699.33 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
253 |
Number Of Beneficiaries Age 65 to 74 |
1708 |
Number Of Beneficiaries Age 75 to 84 |
1735 |
Number Of Beneficiaries Age Greater 84 |
1213 |
Number Of Female Beneficiaries |
2989 |
Number Of Male Beneficiaries |
1920 |
Number Of Non Hispanic White Beneficiaries |
4404 |
Number Of Black or African American Beneficiaries |
126 |
Number Of AsianPacific Islander Beneficiaries |
180 |
Number Of Hispanic Beneficiaries |
116 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
4344 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
565 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4572 |