National Provider Identifier [NPI]: |
1730185125 |
Last Name Of The Provider |
SUMER |
First Name Of The Provider |
VOLKAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1491 VALLE VISTA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEKIN |
Zip Code Of The Provider |
615546241 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
14149 |
Number Of Medicare Beneficiaries |
937 |
Total Submitted Charge Amount |
2685640.95 |
Total Medicare Allowed Amount |
923467.68 |
Total Medicare Payment Amount |
681099.26 |
Total Medicare Standardized Payment Amount |
709175.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
3163 |
Number Of Medicare Beneficiaries With Drug Services |
427 |
Total Drug Submitted ChargeAmount |
760963 |
Total Drug Medicare AllowedAmount |
203386.84 |
Total Drug Medicare PaymentAmount |
158841.62 |
Total Drug Medicare Standardized Payment Amount |
158841.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
10986 |
Number Of Medicare Beneficiaries With Medical Services |
937 |
Total Medical Submitted Charge Amount |
1924677.95 |
Total Medical Medicare Allowed Amount |
720080.84 |
Total Medical Medicare Payment Amount |
522257.64 |
Total Medical Medicare Standardized Payment Amount |
550333.57 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
462 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
526 |
Number Of Male Beneficiaries |
411 |
Number Of Non Hispanic White Beneficiaries |
913 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
860 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.019 |