Medicare Facts for Eleanor A. Potter, PT


National Provider Identifier [NPI]: 1245360296
Last Name Of The Provider POTTER
First Name Of The Provider ELEANOR
Middle Initial Of The Provider
Credentials Of The Provider PT
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 770 BUSSE HWY
Street Address 2 Of The Provider SUITE C
City Of The Provider PARK RIDGE
Zip Code Of The Provider 600682441
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 7
Number Of Services 1915
Number Of Medicare Beneficiaries 58
Total Submitted Charge Amount 73500
Total Medicare Allowed Amount 54049.13
Total Medicare Payment Amount 41421.18
Total Medicare Standardized Payment Amount 34475.81
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 7
Number Of Medical Services 1915
Number Of Medicare Beneficiaries With Medical Services 58
Total Medical Submitted Charge Amount 73500
Total Medical Medicare Allowed Amount 54049.13
Total Medical Medicare Payment Amount 41421.18
Total Medical Medicare Standardized Payment Amount 34475.81
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 22
Number Of Beneficiaries Age 75 to 84 25
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 0
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 28
Percent Of With Diabetes
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 47
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis 26
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8207

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