| National Provider Identifier [NPI]: | 1295722874 |
| Last Name Of The Provider | SUTERA |
| First Name Of The Provider | ANGELO |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | DPM |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 280 N PROVIDENCE RD |
| Street Address 2 Of The Provider | UPPER LEVEL |
| City Of The Provider | MEDIA |
| Zip Code Of The Provider | 190633527 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Podiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 55 |
| Number Of Services | 9942.5 |
| Number Of Medicare Beneficiaries | 1646 |
| Total Submitted Charge Amount | 734959 |
| Total Medicare Allowed Amount | 561056.03 |
| Total Medicare Payment Amount | 423605.45 |
| Total Medicare Standardized Payment Amount | 399476.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 127.5 |
| Number Of Medicare Beneficiaries With Drug Services | 30 |
| Total Drug Submitted ChargeAmount | 1279 |
| Total Drug Medicare AllowedAmount | 550.68 |
| Total Drug Medicare PaymentAmount | 428.82 |
| Total Drug Medicare Standardized Payment Amount | 428.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 52 |
| Number Of Medical Services | 9815 |
| Number Of Medicare Beneficiaries With Medical Services | 1646 |
| Total Medical Submitted Charge Amount | 733680 |
| Total Medical Medicare Allowed Amount | 560505.35 |
| Total Medical Medicare Payment Amount | 423176.63 |
| Total Medical Medicare Standardized Payment Amount | 399047.82 |
| Average Age Of Beneficiaries | 81 |
| Number Of Beneficiaries Age Less65 | 107 |
| Number Of Beneficiaries Age 65 to 74 | 351 |
| Number Of Beneficiaries Age 75 to 84 | 465 |
| Number Of Beneficiaries Age Greater 84 | 723 |
| Number Of Female Beneficiaries | 1087 |
| Number Of Male Beneficiaries | 559 |
| Number Of Non Hispanic White Beneficiaries | 1521 |
| Number Of Black or African American Beneficiaries | 96 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 14 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1210 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 436 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 47 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8373 |