National Provider Identifier [NPI]: |
1750319158 |
Last Name Of The Provider |
KRIZA |
First Name Of The Provider |
CRAIG |
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 |
ONE MEDICAL CTR BLVD |
Street Address 2 Of The Provider |
CCMC POB II STE 324 |
City Of The Provider |
UPLAND |
Zip Code Of The Provider |
19013 |
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 |
42 |
Number Of Services |
7085 |
Number Of Medicare Beneficiaries |
864 |
Total Submitted Charge Amount |
595791 |
Total Medicare Allowed Amount |
335942.26 |
Total Medicare Payment Amount |
244510.12 |
Total Medicare Standardized Payment Amount |
230017.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
128 |
Total Drug Medicare AllowedAmount |
69.27 |
Total Drug Medicare PaymentAmount |
49.01 |
Total Drug Medicare Standardized Payment Amount |
49.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
7069 |
Number Of Medicare Beneficiaries With Medical Services |
864 |
Total Medical Submitted Charge Amount |
595663 |
Total Medical Medicare Allowed Amount |
335872.99 |
Total Medical Medicare Payment Amount |
244461.11 |
Total Medical Medicare Standardized Payment Amount |
229968.78 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
286 |
Number Of Female Beneficiaries |
581 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
644 |
Number Of Black or African American Beneficiaries |
199 |
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 |
401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
463 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
49 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0557 |