National Provider Identifier [NPI]: |
1124093273 |
Last Name Of The Provider |
CUTSURIES |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3655 HOWELL FERRY RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
DULUTH |
Zip Code Of The Provider |
300963179 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
2888 |
Number Of Medicare Beneficiaries |
533 |
Total Submitted Charge Amount |
505026 |
Total Medicare Allowed Amount |
168752.9 |
Total Medicare Payment Amount |
121173.38 |
Total Medicare Standardized Payment Amount |
125088.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
198 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
1207 |
Total Drug Medicare AllowedAmount |
116.77 |
Total Drug Medicare PaymentAmount |
75.24 |
Total Drug Medicare Standardized Payment Amount |
75.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2690 |
Number Of Medicare Beneficiaries With Medical Services |
533 |
Total Medical Submitted Charge Amount |
503819 |
Total Medical Medicare Allowed Amount |
168636.13 |
Total Medical Medicare Payment Amount |
121098.14 |
Total Medical Medicare Standardized Payment Amount |
125013.17 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
172 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
307 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
393 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
455 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5267 |