National Provider Identifier [NPI]: |
1053306316 |
Last Name Of The Provider |
O'ROURKE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
R |
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 |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
6641 |
Number Of Medicare Beneficiaries |
953 |
Total Submitted Charge Amount |
1986244 |
Total Medicare Allowed Amount |
633492.91 |
Total Medicare Payment Amount |
488077.49 |
Total Medicare Standardized Payment Amount |
441365.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2682 |
Number Of Medicare Beneficiaries With Drug Services |
242 |
Total Drug Submitted ChargeAmount |
63934 |
Total Drug Medicare AllowedAmount |
46132.68 |
Total Drug Medicare PaymentAmount |
36161.13 |
Total Drug Medicare Standardized Payment Amount |
36161.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
3959 |
Number Of Medicare Beneficiaries With Medical Services |
953 |
Total Medical Submitted Charge Amount |
1922310 |
Total Medical Medicare Allowed Amount |
587360.23 |
Total Medical Medicare Payment Amount |
451916.36 |
Total Medical Medicare Standardized Payment Amount |
405204.24 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
397 |
Number Of Beneficiaries Age 75 to 84 |
382 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
643 |
Number Of Male Beneficiaries |
310 |
Number Of Non Hispanic White Beneficiaries |
886 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
911 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0295 |