National Provider Identifier [NPI]: |
1407171390 |
Last Name Of The Provider |
JOLLEY |
First Name Of The Provider |
BRYCE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
312 EAST MAIN STREET |
Street Address 2 Of The Provider |
MCFARLAND CLINIC. PC |
City Of The Provider |
MARSHALLTOWN |
Zip Code Of The Provider |
50158 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
2181 |
Number Of Medicare Beneficiaries |
358 |
Total Submitted Charge Amount |
340138.98 |
Total Medicare Allowed Amount |
168022.28 |
Total Medicare Payment Amount |
126517.79 |
Total Medicare Standardized Payment Amount |
135788.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
430 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
22058 |
Total Drug Medicare AllowedAmount |
16247.87 |
Total Drug Medicare PaymentAmount |
12738.37 |
Total Drug Medicare Standardized Payment Amount |
12738.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
1751 |
Number Of Medicare Beneficiaries With Medical Services |
358 |
Total Medical Submitted Charge Amount |
318080.98 |
Total Medical Medicare Allowed Amount |
151774.41 |
Total Medical Medicare Payment Amount |
113779.42 |
Total Medical Medicare Standardized Payment Amount |
123050.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
211 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
346 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
301 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2643 |