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Southern Illinois Orthopedic Center,Llc

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NPI Number Detailed Information

Provider Information:

Name: Southern Illinois Orthopedic Center,Llc
Gender:
Provider License Number If Given: 7002421

NPI Information:

NPI: 1023001377
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 8/23/2005

Last Update Date: 10/9/2012

Provider Business Mailing Address:

Address: 600 S CLIFF AVE STE 106
Sioux Falls, SD 57104
Phone Number: 6189973100
Fax Number: 6189973616

Provider Business Practice Location Address:

Address: 510 LINCOLN DR
Herrin, IL 62948
Phone Number: 6189973100
Fax Number: 6189973616

Provider Taxonomy:

Primary: 261QA1903X
Secondary (if any):
State: IL

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About Southern Illinois Orthopedic Center,Llc

Southern Illinois Orthopedic Center,Llc ( SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC ) is Definition Clinic/Center Provider in Herrin, IL. The NPI Number for Southern Illinois Orthopedic Center,Llc is 1023001377.
The current location address for Southern Illinois Orthopedic Center,Llc is 510 LINCOLN DR Herrin, IL 62948 and the contact number is 6189973100 and fax number is 6189973616. The mailing address for Southern Illinois Orthopedic Center,Llc is 600 S CLIFF AVE STE 106 Sioux Falls, SD 57104- 6189973100 (mailing address contact number - 6189973100).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Southern Illinois Orthopedic Center,Llc ?


Answer: The NPI Number for Southern Illinois Orthopedic Center,Llc is 1023001377

Where is Southern Illinois Orthopedic Center,Llc located?


Answer: Southern Illinois Orthopedic Center,Llc is located at 510 LINCOLN DR Herrin, IL 62948.

What is the specialty for Southern Illinois Orthopedic Center,Llc ?


Answer: The Specialty of Southern Illinois Orthopedic Center,Llc is Definition Clinic/Center Provider.

Are there any online reviews for Southern Illinois Orthopedic Center,Llc ?


Answer: Not yet!

Are there any other health care providers in Herrin, 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 Southern Illinois Orthopedic Center,Llc

Number of HCPCS 115
Number of Medicare Beneficiaries 493
Number of Services 15594
Total Submitted Charge Amount 6652152.18
Total Medicare Allowed Amount 1021732.22
Total Medicare Payment Amount 814128.46
Total Medicare Standardized Payment Amount 903126.55
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 115
Number of Medicare Beneficiaries With Medical 493
Number of Medical Services 15594
Total Medical Submitted Charge Amount 6652152.18
Total Medical Medicare Allowed Amount 1021732.22
Total Medical Medicare Payment Amount 814128.46
Total Medical Medicare Standardized Payment Amount 903126.55
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65 92
Number of Beneficiaries Age 65 to 74 281
Number of Beneficiaries Age 75 to 84 105
Number of Beneficiaries Age Greater 84 15
Number of Female Beneficiaries 292
Number of Male Beneficiaries 201
Number of Non-Hispanic White Beneficiaries 474
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 96
Number of Beneficiaries With Medicare Only Entitlement 397
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.05
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.02
Percent (%) of Beneficiaries Identified With Asthma 0.04
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.06
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.21
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.08
Percent (%) of Beneficiaries Identified With Depression 0.2
Percent (%) of Beneficiaries Identified With Diabetes 0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.55
Percent (%) of Beneficiaries Identified With Hypertension 0.67
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.24
Percent (%) of Beneficiaries Identified With Osteoporosis 0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.73
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7999

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Mrs. Meshia K Reed
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NPI Number: 1245288802
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Ms. Lisa Renee Melton
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David E Matthews
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Address: 220 N PARK AVE SUITE 2 Herrin, IL 62948 , Phone: 6189423344
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Address: 315 S 13TH ST SUITE 2 Herrin, IL 62948 , Phone: 6189425883
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Address: 220 N PARK AVE SUITE 2 Herrin, IL 62948 , Phone: 6189423344
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