Forman Ambulance Service

Forman Ambulance Service ( FORMAN AMBULANCE SERVICE ) is Definition Ambulance Provider in Manito, IL. The NPI Number for Forman Ambulance Service is 1700871910.

The current location address for Forman Ambulance Service is 205 N BROADWAY Manito, IL 61546 and the contact number is 3099686902 and fax number is 3099686649. The mailing address for Forman Ambulance Service is PO BOX 648 Manito, IL 61546- 3099686902 (mailing address contact number - 3099686902).

Definition to come...

What is the NPI Number for Forman Ambulance Service ?

Answer: The NPI Number for Forman Ambulance Service is 1700871910

Where is Forman Ambulance Service located?

Answer: Forman Ambulance Service is located at 205 N BROADWAY Manito, IL 61546.

What is the specialty for Forman Ambulance Service ?

Answer: The Specialty of Forman Ambulance Service is Definition Ambulance Provider.

Are there any online reviews for Forman Ambulance Service ?

Answer: Not yet!

Are there any other health care providers in Manito, IL?

Answer: Yes, there are given below...

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Forman Ambulance Service

Number of HCPCS	2
Number of Medicare Beneficiaries	95
Number of Services	2975.1
Total Submitted Charge Amount	94363.25
Total Medicare Allowed Amount	71556.24
Total Medicare Payment Amount	56764.66
Total Medicare Standardized Payment Amount	52369.01
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	2
Number of Medicare Beneficiaries With Medical	95
Number of Medical Services	2975.1
Total Medical Submitted Charge Amount	94363.25
Total Medical Medicare Allowed Amount	71556.24
Total Medical Medicare Payment Amount	56764.66
Total Medical Medicare Standardized Payment Amount	52369.01
Average Age of Beneficiaries	79
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84	33
Number of Beneficiaries Age Greater 84	32
Number of Female Beneficiaries	49
Number of Male Beneficiaries	46
Number of Non-Hispanic White Beneficiaries	95
Number of Black or African American Beneficiaries	0
Number of Asian Pacific Islander Beneficiaries	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified	0
Number of Beneficiaries With Medicare & Medicaid Entitlement	22
Number of Beneficiaries With Medicare Only Entitlement	73
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.25
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.32
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0.13
Percent (%) of Beneficiaries Identified With Heart Failure	0.43
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.59
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.31
Percent (%) of Beneficiaries Identified With Depression	0.44
Percent (%) of Beneficiaries Identified With Diabetes	0.37
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.68
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.58
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.49
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.7238