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Jerome Vincent Donnelly

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NPI Number Detailed Information

Provider Information:

Name: Jerome Vincent Donnelly
Gender: M
Provider License Number If Given: 36075925

NPI Information:

NPI: 1578616819
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/19/2007

Last Update Date: 2/20/2014

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 900
La Grange, IL 60525
Phone Number: 6308005646
Fax Number:

Provider Business Practice Location Address:

Address: 608 HILLGROVE AVE
Western Springs, IL 60558
Phone Number: 6308005646
Fax Number:

Provider Taxonomy:

Primary: 207QG0300X
Secondary (if any):
State: IL

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About Jerome Vincent Donnelly

Jerome Vincent Donnelly ( JEROME VINCENT DONNELLY ) is A Family Medicine Physician in Western Springs, IL. The NPI Number for Jerome Vincent Donnelly is 1578616819.
The current location address for Jerome Vincent Donnelly is 608 HILLGROVE AVE Western Springs, IL 60558 and the contact number is 6308005646 and fax number is . The mailing address for Jerome Vincent Donnelly is PO BOX 900 La Grange, IL 60525- 6308005646 (mailing address contact number - 6308005646).
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jerome Vincent Donnelly ?


Answer: The NPI Number for Jerome Vincent Donnelly is 1578616819

Where is Jerome Vincent Donnelly located?


Answer: Jerome Vincent Donnelly is located at 608 HILLGROVE AVE Western Springs, IL 60558.

What is the specialty for Jerome Vincent Donnelly ?


Answer: The Specialty of Jerome Vincent Donnelly is A Family Medicine Physician.

Are there any online reviews for Jerome Vincent Donnelly ?


Answer: Yes! Check It Now.

Are there any other health care providers in Western Springs, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Jerome Vincent Donnelly

Number of HCPCS 17
Number of Medicare Beneficiaries 383
Number of Services 1300
Total Submitted Charge Amount 427747
Total Medicare Allowed Amount 140339.02
Total Medicare Payment Amount 99293.72
Total Medicare Standardized Payment Amount 91906.33
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 17
Number of Medicare Beneficiaries With Medical 383
Number of Medical Services 1300
Total Medical Submitted Charge Amount 427747
Total Medical Medicare Allowed Amount 140339.02
Total Medical Medicare Payment Amount 99293.72
Total Medical Medicare Standardized Payment Amount 91906.33
Average Age of Beneficiaries 86
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84 101
Number of Beneficiaries Age Greater 84 244
Number of Female Beneficiaries 288
Number of Male Beneficiaries 95
Number of Non-Hispanic White Beneficiaries 353
Number of Black or African American Beneficiaries 17
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 50
Number of Beneficiaries With Medicare Only Entitlement 333
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.21
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.73
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.39
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.43
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.14
Percent (%) of Beneficiaries Identified With Depression 0.39
Percent (%) of Beneficiaries Identified With Diabetes 0.39
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.54
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.37
Percent (%) of Beneficiaries Identified With Osteoporosis 0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.52
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.15
Percent (%) of Beneficiaries Identified With Stroke 0.11
Average HCC Risk Score of Beneficiaries 1.8388

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 12087
Number of Standardized 30-Day Fills 13954.533333
Aggregate Cost Paid for All Claims 575793.29
Number of Day's Supply for All Claims 367701
Number of Medicare Beneficiaries 611
Number of Claims, Including Refills, for Beneficiaries Age 65+ 11897
Including Refills, for Beneficiaries Age 65+ 13760.466667
Beneficiaries Age 65+ 571008.64
Number of Day's Supply for All Claims for Beneficaries Age 65+ 364238
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1337
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 10682
Aggregate Cost Paid for Generic Drugs 234596.93
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 68
Aggregate Cost Paid for Other Drugs 4300.1
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 4747
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 228166.08
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 7340
Aggregate Cost Paid for Claims Filled by 347627.21
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 3019
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 141428.29
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 9068
by Low-Income Subsidy 434365
Total Claims of Opioid Drugs, Including 269
Aggregate Cost Paid for Opioid Drugs 5630.43
Opioid Claims 91
Opioid_Tot_Clms divided by the Tot_Clms 2.2255315628
Total Claims of Long-Acting Opioid Drugs 51
Aggregate Cost Paid for Long-Acting Opioid 2679.83
Number of Day's Supply of All Long-Acting 974
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 18.959107807
Total Claims of Antibiotic Drugs, Including 221
Aggregate Cost Paid for Antibiotic Drugs 20134.21
Antibiotic Claims 116
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 236
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 8445.36
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 86.044189853
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 455
Number of Male Beneficiaries 156
Number of Non-Hispanic White 548
Number of Black or African American 20
Number of Asian Pacific Islander 11
Number of Hispanic Beneficiaries 26
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 468
Average Hierarchical Condition Category 2.0093028774

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