National Provider Identifier [NPI]: |
1417933946 |
Last Name Of The Provider |
AHLUWALIA |
First Name Of The Provider |
MUKESH |
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 |
2001 TOWER DR |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
GLENVIEW |
Zip Code Of The Provider |
600267805 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
4822 |
Number Of Medicare Beneficiaries |
1042 |
Total Submitted Charge Amount |
937094.51 |
Total Medicare Allowed Amount |
433841.99 |
Total Medicare Payment Amount |
335062.74 |
Total Medicare Standardized Payment Amount |
314342.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
613 |
Total Drug Medicare AllowedAmount |
239.32 |
Total Drug Medicare PaymentAmount |
234.49 |
Total Drug Medicare Standardized Payment Amount |
234.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4805 |
Number Of Medicare Beneficiaries With Medical Services |
1042 |
Total Medical Submitted Charge Amount |
936481.51 |
Total Medical Medicare Allowed Amount |
433602.67 |
Total Medical Medicare Payment Amount |
334828.25 |
Total Medical Medicare Standardized Payment Amount |
314108.46 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
290 |
Number Of Beneficiaries Age 75 to 84 |
325 |
Number Of Beneficiaries Age Greater 84 |
290 |
Number Of Female Beneficiaries |
599 |
Number Of Male Beneficiaries |
443 |
Number Of Non Hispanic White Beneficiaries |
822 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
54 |
Number Of Hispanic Beneficiaries |
100 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
430 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
62 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.5721 |