National Provider Identifier [NPI]: |
1669428306 |
Last Name Of The Provider |
BENSON |
First Name Of The Provider |
LEON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2401 RAVINE WAY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
GLENVIEW |
Zip Code Of The Provider |
600257645 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
126 |
Number Of Services |
11371 |
Number Of Medicare Beneficiaries |
1145 |
Total Submitted Charge Amount |
1385505 |
Total Medicare Allowed Amount |
484399.21 |
Total Medicare Payment Amount |
360681.08 |
Total Medicare Standardized Payment Amount |
326570.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
5869 |
Number Of Medicare Beneficiaries With Drug Services |
616 |
Total Drug Submitted ChargeAmount |
82279 |
Total Drug Medicare AllowedAmount |
58647.43 |
Total Drug Medicare PaymentAmount |
44079.24 |
Total Drug Medicare Standardized Payment Amount |
44079.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
5502 |
Number Of Medicare Beneficiaries With Medical Services |
1145 |
Total Medical Submitted Charge Amount |
1303226 |
Total Medical Medicare Allowed Amount |
425751.78 |
Total Medical Medicare Payment Amount |
316601.84 |
Total Medical Medicare Standardized Payment Amount |
282491 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
506 |
Number Of Beneficiaries Age 75 to 84 |
411 |
Number Of Beneficiaries Age Greater 84 |
199 |
Number Of Female Beneficiaries |
733 |
Number Of Male Beneficiaries |
412 |
Number Of Non Hispanic White Beneficiaries |
1080 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1104 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9825 |