National Provider Identifier [NPI]: |
1578518569 |
Last Name Of The Provider |
BAJWA |
First Name Of The Provider |
RIZWAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
908 N ELM ST |
Street Address 2 Of The Provider |
STE 202 |
City Of The Provider |
HINSDALE |
Zip Code Of The Provider |
605213635 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
8733 |
Number Of Medicare Beneficiaries |
772 |
Total Submitted Charge Amount |
512861.5 |
Total Medicare Allowed Amount |
243862.31 |
Total Medicare Payment Amount |
183970.34 |
Total Medicare Standardized Payment Amount |
175365.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
7160 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
91280 |
Total Drug Medicare AllowedAmount |
39080.37 |
Total Drug Medicare PaymentAmount |
29990.16 |
Total Drug Medicare Standardized Payment Amount |
29990.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1573 |
Number Of Medicare Beneficiaries With Medical Services |
772 |
Total Medical Submitted Charge Amount |
421581.5 |
Total Medical Medicare Allowed Amount |
204781.94 |
Total Medical Medicare Payment Amount |
153980.18 |
Total Medical Medicare Standardized Payment Amount |
145375.18 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
254 |
Number Of Beneficiaries Age 75 to 84 |
264 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
667 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
654 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
29 |
Average HCC Risk Score Of Beneficiaries |
1.6161 |