National Provider Identifier [NPI]: |
1083642219 |
Last Name Of The Provider |
GREENFIELD |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2800 TOWNSHIP LINE ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAVERTOWN |
Zip Code Of The Provider |
190835215 |
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 |
68 |
Number Of Services |
5173 |
Number Of Medicare Beneficiaries |
747 |
Total Submitted Charge Amount |
352135.76 |
Total Medicare Allowed Amount |
278425.19 |
Total Medicare Payment Amount |
202784.99 |
Total Medicare Standardized Payment Amount |
190225.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
1695 |
Total Drug Medicare AllowedAmount |
199.31 |
Total Drug Medicare PaymentAmount |
153.42 |
Total Drug Medicare Standardized Payment Amount |
153.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
5061 |
Number Of Medicare Beneficiaries With Medical Services |
747 |
Total Medical Submitted Charge Amount |
350440.76 |
Total Medical Medicare Allowed Amount |
278225.88 |
Total Medical Medicare Payment Amount |
202631.57 |
Total Medical Medicare Standardized Payment Amount |
190072.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
236 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
421 |
Number Of Male Beneficiaries |
326 |
Number Of Non Hispanic White Beneficiaries |
673 |
Number Of Black or African American Beneficiaries |
49 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
661 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4769 |