National Provider Identifier [NPI]: |
1164463535 |
Last Name Of The Provider |
BROOKFIELD |
First Name Of The Provider |
LESLIE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1255 N. MILWAUKEE AV |
Street Address 2 Of The Provider |
|
City Of The Provider |
GLENVIEW |
Zip Code Of The Provider |
600252442 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2956 |
Number Of Medicare Beneficiaries |
1462 |
Total Submitted Charge Amount |
507929 |
Total Medicare Allowed Amount |
230014.94 |
Total Medicare Payment Amount |
172612.86 |
Total Medicare Standardized Payment Amount |
162809.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
940 |
Total Drug Medicare AllowedAmount |
519.18 |
Total Drug Medicare PaymentAmount |
508.78 |
Total Drug Medicare Standardized Payment Amount |
508.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2931 |
Number Of Medicare Beneficiaries With Medical Services |
1462 |
Total Medical Submitted Charge Amount |
506989 |
Total Medical Medicare Allowed Amount |
229495.76 |
Total Medical Medicare Payment Amount |
172104.08 |
Total Medical Medicare Standardized Payment Amount |
162301.05 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
470 |
Number Of Beneficiaries Age 75 to 84 |
557 |
Number Of Beneficiaries Age Greater 84 |
337 |
Number Of Female Beneficiaries |
822 |
Number Of Male Beneficiaries |
640 |
Number Of Non Hispanic White Beneficiaries |
1290 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
60 |
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
238 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6236 |