National Provider Identifier [NPI]: |
1487750790 |
Last Name Of The Provider |
LEONG |
First Name Of The Provider |
SENG |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27790 W IL ROUTE 22 STE 16 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BARRINGTON |
Zip Code Of The Provider |
600102340 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
8446 |
Number Of Medicare Beneficiaries |
992 |
Total Submitted Charge Amount |
1057747 |
Total Medicare Allowed Amount |
574708.99 |
Total Medicare Payment Amount |
434540.41 |
Total Medicare Standardized Payment Amount |
411466.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
442 |
Number Of Medicare Beneficiaries With Drug Services |
369 |
Total Drug Submitted ChargeAmount |
19282 |
Total Drug Medicare AllowedAmount |
15847 |
Total Drug Medicare PaymentAmount |
15431.93 |
Total Drug Medicare Standardized Payment Amount |
15431.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
8004 |
Number Of Medicare Beneficiaries With Medical Services |
992 |
Total Medical Submitted Charge Amount |
1038465 |
Total Medical Medicare Allowed Amount |
558861.99 |
Total Medical Medicare Payment Amount |
419108.48 |
Total Medical Medicare Standardized Payment Amount |
396034.26 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
568 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
897 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
22 |
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 |
855 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
137 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3418 |