National Provider Identifier [NPI]: |
1144210881 |
Last Name Of The Provider |
OKONSKI |
First Name Of The Provider |
CRAIG |
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 |
3800 HOLLYWOOD RD |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
SAINT JOSEPH |
Zip Code Of The Provider |
490858510 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
3023 |
Number Of Medicare Beneficiaries |
791 |
Total Submitted Charge Amount |
307395 |
Total Medicare Allowed Amount |
198663.41 |
Total Medicare Payment Amount |
140793.72 |
Total Medicare Standardized Payment Amount |
153309.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
1450 |
Total Drug Medicare AllowedAmount |
330.19 |
Total Drug Medicare PaymentAmount |
234.55 |
Total Drug Medicare Standardized Payment Amount |
234.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2965 |
Number Of Medicare Beneficiaries With Medical Services |
791 |
Total Medical Submitted Charge Amount |
305945 |
Total Medical Medicare Allowed Amount |
198333.22 |
Total Medical Medicare Payment Amount |
140559.17 |
Total Medical Medicare Standardized Payment Amount |
153075 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
243 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
734 |
Number Of Black or African American Beneficiaries |
43 |
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 |
743 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2602 |