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Dr. Mark Montefolka

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NPI Number Detailed Information

Provider Information:

Name: Dr. Mark Montefolka
Gender: M
Provider License Number If Given: 36110139

NPI Information:

NPI: 1114026754
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/21/2006

Last Update Date: 7/9/2007

Reputation Report:

Provider Business Mailing Address:

Address: 1120 E WAR MEMORIAL DR
Peoria Heights, IL 61616
Phone Number: 3096850100
Fax Number: 3096850172

Provider Business Practice Location Address:

Address: 1120 E WAR MEMORIAL DR
Peoria Heights, IL 61616
Phone Number: 3096850100
Fax Number: 3096850172

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: IL

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About Dr. Mark Montefolka

Dr. Mark Montefolka (DR. MARK MONTEFOLKA ) is Family Family Medicine Physician in Peoria Heights, IL. The NPI Number for Dr. Mark Montefolka is 1114026754.
The current location address for Dr. Mark Montefolka is 1120 E WAR MEMORIAL DR Peoria Heights, IL 61616 and the contact number is 3096850100 and fax number is 3096850172. The mailing address for Dr. Mark Montefolka is 1120 E WAR MEMORIAL DR Peoria Heights, IL 61616- 3096850100 (mailing address contact number - 3096850100).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Mark Montefolka ?


Answer: The NPI Number for Dr. Mark Montefolka is 1114026754

Where is Dr. Mark Montefolka located?


Answer: Dr. Mark Montefolka is located at 1120 E WAR MEMORIAL DR Peoria Heights, IL 61616.

What is the specialty for Dr. Mark Montefolka ?


Answer: The Specialty of Dr. Mark Montefolka is Family Family Medicine Physician.

Are there any online reviews for Dr. Mark Montefolka ?


Answer: Yes! Check It Now.

Are there any other health care providers in Peoria Heights, 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 Dr. Mark Montefolka

Number of HCPCS 57
Number of Medicare Beneficiaries 338
Number of Services 1547
Total Submitted Charge Amount 96702
Total Medicare Allowed Amount 50432.1
Total Medicare Payment Amount 35844.5
Total Medicare Standardized Payment Amount 37315.8
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 11
Number of Medicare Beneficiaries With Drug Services 37
Number of Drug Services 690
Total Drug Submitted Charge Amount 3346
Total Drug Medicare Allowed Amount 2514.57
Total Drug Medicare Payment Amount 2469.08
Total Drug Medicare Standardized Payment Amount 2421.64
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 46
Number of Medicare Beneficiaries With Medical 338
Number of Medical Services 857
Total Medical Submitted Charge Amount 93356
Total Medical Medicare Allowed Amount 47917.53
Total Medical Medicare Payment Amount 33375.42
Total Medical Medicare Standardized Payment Amount 34894.16
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 22
Number of Beneficiaries Age 65 to 74 194
Number of Beneficiaries Age 75 to 84 89
Number of Beneficiaries Age Greater 84 33
Number of Female Beneficiaries 172
Number of Male Beneficiaries 166
Number of Non-Hispanic White Beneficiaries 298
Number of Black or African American Beneficiaries 25
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 26
Number of Beneficiaries With Medicare Only Entitlement 312
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.27
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.11
Percent (%) of Beneficiaries Identified With Depression 0.19
Percent (%) of Beneficiaries Identified With Diabetes 0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.54
Percent (%) of Beneficiaries Identified With Hypertension 0.59
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.22
Percent (%) of Beneficiaries Identified With Osteoporosis 0.04
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.31
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9672

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 3822
Number of Standardized 30-Day Fills 8192.9666667
Aggregate Cost Paid for All Claims 286163.63
Number of Day's Supply for All Claims 234412
Number of Medicare Beneficiaries 330
Number of Claims, Including Refills, for Beneficiaries Age 65+ 3377
Including Refills, for Beneficiaries Age 65+ 7330.6
Beneficiaries Age 65+ 256767.73
Number of Day's Supply for All Claims for Beneficaries Age 65+ 209702
Number of Medicare Beneficiaries Age 65+ 292
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 523
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 3274
Aggregate Cost Paid for Generic Drugs 51937.04
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 25
Aggregate Cost Paid for Other Drugs 796.79
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 2235
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 158134.56
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1587
Aggregate Cost Paid for Claims Filled by 128029.07
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 802
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 69678.13
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 3020
by Low-Income Subsidy 216485.5
Total Claims of Opioid Drugs, Including 96
Aggregate Cost Paid for Opioid Drugs 642.7
Opioid Claims 26
Opioid_Tot_Clms divided by the Tot_Clms 2.5117739403
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 169
Aggregate Cost Paid for Antibiotic Drugs 2245.65
Antibiotic Claims 102
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 71.718181818
Number of Beneficiaries Age Less Than 65 38
Number of Beneficiaries Age 65 to 74 181
Number of Beneficiaries Age 75 to 84 85
Number of Female Beneficiaries 179
Number of Male Beneficiaries 151
Number of Non-Hispanic White 289
Number of Black or African American 27
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 279
Average Hierarchical Condition Category 1.0919460826

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