National Provider Identifier [NPI]: |
1336149806 |
Last Name Of The Provider |
RIEN |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9980 CENTRAL PARK BLVD N |
Street Address 2 Of The Provider |
#120 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334281762 |
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 |
66 |
Number Of Services |
1608 |
Number Of Medicare Beneficiaries |
223 |
Total Submitted Charge Amount |
186855 |
Total Medicare Allowed Amount |
139158.77 |
Total Medicare Payment Amount |
104197.18 |
Total Medicare Standardized Payment Amount |
99142.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
610 |
Total Drug Medicare AllowedAmount |
352.14 |
Total Drug Medicare PaymentAmount |
270.1 |
Total Drug Medicare Standardized Payment Amount |
270.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
1547 |
Number Of Medicare Beneficiaries With Medical Services |
223 |
Total Medical Submitted Charge Amount |
186245 |
Total Medical Medicare Allowed Amount |
138806.63 |
Total Medical Medicare Payment Amount |
103927.08 |
Total Medical Medicare Standardized Payment Amount |
98872.05 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
125 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
206 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
210 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4586 |