National Provider Identifier [NPI]: |
1740254655 |
Last Name Of The Provider |
REEVES |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2111 GLENWOOD DR |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
WINTER PARK |
Zip Code Of The Provider |
327923328 |
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 |
138 |
Number Of Services |
5877 |
Number Of Medicare Beneficiaries |
653 |
Total Submitted Charge Amount |
744530.5 |
Total Medicare Allowed Amount |
360401.96 |
Total Medicare Payment Amount |
268253.59 |
Total Medicare Standardized Payment Amount |
271617.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1944 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
102115 |
Total Drug Medicare AllowedAmount |
73965.88 |
Total Drug Medicare PaymentAmount |
57986.48 |
Total Drug Medicare Standardized Payment Amount |
57986.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
3933 |
Number Of Medicare Beneficiaries With Medical Services |
653 |
Total Medical Submitted Charge Amount |
642415.5 |
Total Medical Medicare Allowed Amount |
286436.08 |
Total Medical Medicare Payment Amount |
210267.11 |
Total Medical Medicare Standardized Payment Amount |
213631.13 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
238 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
379 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
532 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
547 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7148 |