Medicare Facts for Dr. Theodore Ellis, MD


National Provider Identifier [NPI]: 1689622599
Last Name Of The Provider ELLIS
First Name Of The Provider THEODORE
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 801 S WASHINGTON ST
Street Address 2 Of The Provider
City Of The Provider NAPERVILLE
Zip Code Of The Provider 605407430
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 52
Number Of Services 149
Number Of Medicare Beneficiaries 132
Total Submitted Charge Amount 293285
Total Medicare Allowed Amount 42934.81
Total Medicare Payment Amount 33372.83
Total Medicare Standardized Payment Amount 30940.93
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 52
Number Of Medical Services 149
Number Of Medicare Beneficiaries With Medical Services 132
Total Medical Submitted Charge Amount 293285
Total Medical Medicare Allowed Amount 42934.81
Total Medical Medicare Payment Amount 33372.83
Total Medical Medicare Standardized Payment Amount 30940.93
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 63
Number Of Beneficiaries Age 75 to 84 38
Number Of Beneficiaries Age Greater 84 15
Number Of Female Beneficiaries 79
Number Of Male Beneficiaries 53
Number Of Non Hispanic White Beneficiaries 112
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 112
Number Of Beneficiaries With Medicare Medicaid Entitlement 20
Percent Of With Atrial Fibrillation 20
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 9
Percent Of With Cancer 23
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 40
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 34
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 17
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5209

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