National Provider Identifier [NPI]: |
1780606889 |
Last Name Of The Provider |
DUNETZ |
First Name Of The Provider |
AMY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17971 BISCAYNE BLVD |
Street Address 2 Of The Provider |
109 |
City Of The Provider |
AVENTURA |
Zip Code Of The Provider |
33160 |
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 |
51 |
Number Of Services |
3541 |
Number Of Medicare Beneficiaries |
592 |
Total Submitted Charge Amount |
222895.5 |
Total Medicare Allowed Amount |
215953.48 |
Total Medicare Payment Amount |
155995.33 |
Total Medicare Standardized Payment Amount |
144928.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
110 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
226 |
Total Drug Medicare AllowedAmount |
195.99 |
Total Drug Medicare PaymentAmount |
147.77 |
Total Drug Medicare Standardized Payment Amount |
147.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
3431 |
Number Of Medicare Beneficiaries With Medical Services |
592 |
Total Medical Submitted Charge Amount |
222669.5 |
Total Medical Medicare Allowed Amount |
215757.49 |
Total Medical Medicare Payment Amount |
155847.56 |
Total Medical Medicare Standardized Payment Amount |
144780.56 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
229 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
367 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
518 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
531 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5163 |