Marybeth Bolanowski

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NPI Number Detailed Information

Provider Information:

Name:	Marybeth Bolanowski
Gender:	F
Provider License Number If Given:	85001424

NPI Information:

NPI:	1891781639
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/27/2005
Last Update Date:	6/27/2023

Provider Business Mailing Address:

Address:	PO BOX 713260 Chicago, IL 60677
Phone Number:	6304699200
Fax Number:

Provider Business Practice Location Address:

Address:	1801 S HIGHLAND AVE STE 220 Lombard, IL 60148
Phone Number:	6307901872
Fax Number:

Provider Taxonomy:

Primary:	363AS0400X
Secondary (if any):	363A00000X
State:	IL

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About Marybeth Bolanowski

Marybeth Bolanowski ( MARYBETH BOLANOWSKI ) is Definition Physician Assistant Physician in Lombard, IL. The NPI Number for Marybeth Bolanowski is 1891781639.

The current location address for Marybeth Bolanowski is 1801 S HIGHLAND AVE STE 220 Lombard, IL 60148 and the contact number is 6304699200 and fax number is . The mailing address for Marybeth Bolanowski is PO BOX 713260 Chicago, IL 60677- 6307901872 (mailing address contact number - 6304699200).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Marybeth Bolanowski ?

Answer: The NPI Number for Marybeth Bolanowski is 1891781639

Where is Marybeth Bolanowski located?

Answer: Marybeth Bolanowski is located at 1801 S HIGHLAND AVE STE 220 Lombard, IL 60148.

What is the specialty for Marybeth Bolanowski ?

Answer: The Specialty of Marybeth Bolanowski is Definition Physician Assistant Physician.

Are there any online reviews for Marybeth Bolanowski ?

Answer: Not yet!

Are there any other health care providers in Lombard, 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 Marybeth Bolanowski

Number of HCPCS	21
Number of Medicare Beneficiaries	115
Number of Services	316
Total Submitted Charge Amount	221117.2
Total Medicare Allowed Amount	35027
Total Medicare Payment Amount	27693.48
Total Medicare Standardized Payment Amount	26083.65
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	3
Number of Medicare Beneficiaries With Drug Services	39
Number of Drug Services	141
Total Drug Submitted Charge Amount	918
Total Drug Medicare Allowed Amount	304.39
Total Drug Medicare Payment Amount	174.87
Total Drug Medicare Standardized Payment Amount	171.39
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	18
Number of Medicare Beneficiaries With Medical	114
Number of Medical Services	175
Total Medical Submitted Charge Amount	220199.2
Total Medical Medicare Allowed Amount	34722.61
Total Medical Medicare Payment Amount	27518.61
Total Medical Medicare Standardized Payment Amount	25912.26
Average Age of Beneficiaries	76
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	56
Number of Beneficiaries Age 75 to 84	34
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	77
Number of Male Beneficiaries	38
Number of Non-Hispanic White Beneficiaries	95
Number of Black or African American Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.15
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0.15
Percent (%) of Beneficiaries Identified With Heart Failure	0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.3
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.1
Percent (%) of Beneficiaries Identified With Depression	0.26
Percent (%) of Beneficiaries Identified With Diabetes	0.25
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.7
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.27
Percent (%) of Beneficiaries Identified With Osteoporosis	0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.1892

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	Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	95
Number of Standardized 30-Day Fills	101
Aggregate Cost Paid for All Claims	3006.17
Number of Day's Supply for All Claims	1457
Number of Medicare Beneficiaries	54
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	*
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	87
Aggregate Cost Paid for Generic Drugs	701.51
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	#
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	51
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	1643.04
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	44
Aggregate Cost Paid for Claims Filled by	1363.13
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst	*
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst	#
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including	52
Aggregate Cost Paid for Opioid Drugs	431.46
Opioid Claims	37
Opioid_Tot_Clms divided by the Tot_Clms	54.736842105
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
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
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	73.018518519
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	33
Number of Male Beneficiaries	21
Number of Non-Hispanic White	43
Number of Black or African American	0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	1.0983888889

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