National Provider Identifier [NPI]: |
1487668729 |
Last Name Of The Provider |
ORMINSKI |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
307 S 12TH AVE |
Street Address 2 Of The Provider |
#9 |
City Of The Provider |
YAKIMA |
Zip Code Of The Provider |
989023100 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
2901 |
Number Of Medicare Beneficiaries |
604 |
Total Submitted Charge Amount |
304642.28 |
Total Medicare Allowed Amount |
241494.48 |
Total Medicare Payment Amount |
179346.97 |
Total Medicare Standardized Payment Amount |
181355.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
348 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
29005.4 |
Total Drug Medicare AllowedAmount |
28759.93 |
Total Drug Medicare PaymentAmount |
22313.7 |
Total Drug Medicare Standardized Payment Amount |
22313.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
2553 |
Number Of Medicare Beneficiaries With Medical Services |
604 |
Total Medical Submitted Charge Amount |
275636.88 |
Total Medical Medicare Allowed Amount |
212734.55 |
Total Medical Medicare Payment Amount |
157033.27 |
Total Medical Medicare Standardized Payment Amount |
159041.47 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
230 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
361 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
543 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
493 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4092 |