National Provider Identifier [NPI]: |
1134197023 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
117 TRADEPARK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOMERSET |
Zip Code Of The Provider |
425033428 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
3585 |
Number Of Medicare Beneficiaries |
770 |
Total Submitted Charge Amount |
494604 |
Total Medicare Allowed Amount |
223208.88 |
Total Medicare Payment Amount |
164701.26 |
Total Medicare Standardized Payment Amount |
177658.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
323 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
1650 |
Total Drug Medicare AllowedAmount |
64.45 |
Total Drug Medicare PaymentAmount |
47.21 |
Total Drug Medicare Standardized Payment Amount |
47.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
3262 |
Number Of Medicare Beneficiaries With Medical Services |
770 |
Total Medical Submitted Charge Amount |
492954 |
Total Medical Medicare Allowed Amount |
223144.43 |
Total Medical Medicare Payment Amount |
164654.05 |
Total Medical Medicare Standardized Payment Amount |
177611.36 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
246 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
476 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
748 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5348 |