National Provider Identifier [NPI]: |
1962400713 |
Last Name Of The Provider |
PARADOA |
First Name Of The Provider |
AMBERLY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3735 11TH CIR |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
329604844 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
7155 |
Number Of Medicare Beneficiaries |
1262 |
Total Submitted Charge Amount |
1050339 |
Total Medicare Allowed Amount |
488824.24 |
Total Medicare Payment Amount |
361379.42 |
Total Medicare Standardized Payment Amount |
346672.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
101 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
1515 |
Total Drug Medicare AllowedAmount |
578.94 |
Total Drug Medicare PaymentAmount |
448.06 |
Total Drug Medicare Standardized Payment Amount |
448.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
7054 |
Number Of Medicare Beneficiaries With Medical Services |
1262 |
Total Medical Submitted Charge Amount |
1048824 |
Total Medical Medicare Allowed Amount |
488245.3 |
Total Medical Medicare Payment Amount |
360931.36 |
Total Medical Medicare Standardized Payment Amount |
346224.6 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
408 |
Number Of Beneficiaries Age 75 to 84 |
445 |
Number Of Beneficiaries Age Greater 84 |
317 |
Number Of Female Beneficiaries |
707 |
Number Of Male Beneficiaries |
555 |
Number Of Non Hispanic White Beneficiaries |
1161 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1127 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7859 |