National Provider Identifier [NPI]: |
1356361190 |
Last Name Of The Provider |
TRENNER |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2760 ORO DAM BLVD E |
Street Address 2 Of The Provider |
|
City Of The Provider |
OROVILLE |
Zip Code Of The Provider |
959665117 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
6743 |
Number Of Medicare Beneficiaries |
1461 |
Total Submitted Charge Amount |
610864.32 |
Total Medicare Allowed Amount |
369162.62 |
Total Medicare Payment Amount |
272138.72 |
Total Medicare Standardized Payment Amount |
262514.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1323 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
82336.5 |
Total Drug Medicare AllowedAmount |
42964.08 |
Total Drug Medicare PaymentAmount |
33673.42 |
Total Drug Medicare Standardized Payment Amount |
33673.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
5420 |
Number Of Medicare Beneficiaries With Medical Services |
1460 |
Total Medical Submitted Charge Amount |
528527.82 |
Total Medical Medicare Allowed Amount |
326198.54 |
Total Medical Medicare Payment Amount |
238465.3 |
Total Medical Medicare Standardized Payment Amount |
228841.54 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
470 |
Number Of Beneficiaries Age 75 to 84 |
430 |
Number Of Beneficiaries Age Greater 84 |
299 |
Number Of Female Beneficiaries |
849 |
Number Of Male Beneficiaries |
612 |
Number Of Non Hispanic White Beneficiaries |
1291 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
949 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
512 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7736 |