National Provider Identifier [NPI]: |
1891874756 |
Last Name Of The Provider |
THORNTON |
First Name Of The Provider |
DEBRA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23823 LORAIN RD |
Street Address 2 Of The Provider |
SUITE 280 |
City Of The Provider |
NORTH OLMSTED |
Zip Code Of The Provider |
440702254 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
5615 |
Number Of Medicare Beneficiaries |
769 |
Total Submitted Charge Amount |
545044 |
Total Medicare Allowed Amount |
221337.65 |
Total Medicare Payment Amount |
163271.86 |
Total Medicare Standardized Payment Amount |
168449 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
120 |
Total Drug Medicare AllowedAmount |
3.94 |
Total Drug Medicare PaymentAmount |
2.83 |
Total Drug Medicare Standardized Payment Amount |
2.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
5585 |
Number Of Medicare Beneficiaries With Medical Services |
769 |
Total Medical Submitted Charge Amount |
544924 |
Total Medical Medicare Allowed Amount |
221333.71 |
Total Medical Medicare Payment Amount |
163269.03 |
Total Medical Medicare Standardized Payment Amount |
168446.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
199 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
499 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
449 |
Number Of Black or African American Beneficiaries |
301 |
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 |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
299 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7428 |