National Provider Identifier [NPI]: |
1003167206 |
Last Name Of The Provider |
BUCKLEY |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
115 SHAMROCK BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
VENICE |
Zip Code Of The Provider |
342931630 |
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 |
62 |
Number Of Services |
4587 |
Number Of Medicare Beneficiaries |
1085 |
Total Submitted Charge Amount |
319935.6 |
Total Medicare Allowed Amount |
270202.14 |
Total Medicare Payment Amount |
200059.18 |
Total Medicare Standardized Payment Amount |
202707.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
156 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
1101.6 |
Total Drug Medicare AllowedAmount |
889.23 |
Total Drug Medicare PaymentAmount |
692.91 |
Total Drug Medicare Standardized Payment Amount |
692.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4431 |
Number Of Medicare Beneficiaries With Medical Services |
1085 |
Total Medical Submitted Charge Amount |
318834 |
Total Medical Medicare Allowed Amount |
269312.91 |
Total Medical Medicare Payment Amount |
199366.27 |
Total Medical Medicare Standardized Payment Amount |
202014.64 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
404 |
Number Of Beneficiaries Age Greater 84 |
268 |
Number Of Female Beneficiaries |
547 |
Number Of Male Beneficiaries |
538 |
Number Of Non Hispanic White Beneficiaries |
1039 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1004 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5577 |