National Provider Identifier [NPI]: |
1891730677 |
Last Name Of The Provider |
INLOW |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5 HARRIS CT |
Street Address 2 Of The Provider |
STE. T-103 |
City Of The Provider |
MONTEREY |
Zip Code Of The Provider |
939405750 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
5616 |
Number Of Medicare Beneficiaries |
691 |
Total Submitted Charge Amount |
705716 |
Total Medicare Allowed Amount |
413805.06 |
Total Medicare Payment Amount |
303961.49 |
Total Medicare Standardized Payment Amount |
290380.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
144 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
3682 |
Total Drug Medicare AllowedAmount |
2953.86 |
Total Drug Medicare PaymentAmount |
2313.81 |
Total Drug Medicare Standardized Payment Amount |
2313.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
5472 |
Number Of Medicare Beneficiaries With Medical Services |
691 |
Total Medical Submitted Charge Amount |
702034 |
Total Medical Medicare Allowed Amount |
410851.2 |
Total Medical Medicare Payment Amount |
301647.68 |
Total Medical Medicare Standardized Payment Amount |
288067.11 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
400 |
Number Of Male Beneficiaries |
291 |
Number Of Non Hispanic White Beneficiaries |
409 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
192 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
480 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.631 |