National Provider Identifier [NPI]: |
1821017930 |
Last Name Of The Provider |
KOMPUS |
First Name Of The Provider |
DARRYL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
41100 FOX RUN |
Street Address 2 Of The Provider |
|
City Of The Provider |
NOVI |
Zip Code Of The Provider |
483774804 |
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 |
37 |
Number Of Services |
2409 |
Number Of Medicare Beneficiaries |
471 |
Total Submitted Charge Amount |
147646.03 |
Total Medicare Allowed Amount |
111695.1 |
Total Medicare Payment Amount |
81540.23 |
Total Medicare Standardized Payment Amount |
79397.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
427.93 |
Total Drug Medicare AllowedAmount |
5.16 |
Total Drug Medicare PaymentAmount |
3.91 |
Total Drug Medicare Standardized Payment Amount |
3.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2371 |
Number Of Medicare Beneficiaries With Medical Services |
471 |
Total Medical Submitted Charge Amount |
147218.1 |
Total Medical Medicare Allowed Amount |
111689.94 |
Total Medical Medicare Payment Amount |
81536.32 |
Total Medical Medicare Standardized Payment Amount |
79394.04 |
Average Age Of Beneficiaries |
87 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
340 |
Number Of Female Beneficiaries |
324 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
434 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7519 |