National Provider Identifier [NPI]: |
1215024633 |
Last Name Of The Provider |
ROBBINS |
First Name Of The Provider |
DAVID |
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 |
4683 MERRICK ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MASSAPEQUA |
Zip Code Of The Provider |
11758 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
4859 |
Number Of Medicare Beneficiaries |
910 |
Total Submitted Charge Amount |
489280 |
Total Medicare Allowed Amount |
371862.36 |
Total Medicare Payment Amount |
287925.39 |
Total Medicare Standardized Payment Amount |
259765.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
92 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
920 |
Total Drug Medicare AllowedAmount |
65.15 |
Total Drug Medicare PaymentAmount |
51.21 |
Total Drug Medicare Standardized Payment Amount |
51.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4767 |
Number Of Medicare Beneficiaries With Medical Services |
910 |
Total Medical Submitted Charge Amount |
488360 |
Total Medical Medicare Allowed Amount |
371797.21 |
Total Medical Medicare Payment Amount |
287874.18 |
Total Medical Medicare Standardized Payment Amount |
259714.17 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
566 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
778 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
578 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
332 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9096 |