National Provider Identifier [NPI]: |
1235216375 |
Last Name Of The Provider |
MCRORIE |
First Name Of The Provider |
DUANE |
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 |
410 CELEBRATION PL |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
CELEBRATION |
Zip Code Of The Provider |
347475433 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
4042 |
Number Of Medicare Beneficiaries |
701 |
Total Submitted Charge Amount |
534389 |
Total Medicare Allowed Amount |
256361.07 |
Total Medicare Payment Amount |
183816.64 |
Total Medicare Standardized Payment Amount |
191253.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1018 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
13234 |
Total Drug Medicare AllowedAmount |
1819.31 |
Total Drug Medicare PaymentAmount |
1366.09 |
Total Drug Medicare Standardized Payment Amount |
1366.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
3024 |
Number Of Medicare Beneficiaries With Medical Services |
701 |
Total Medical Submitted Charge Amount |
521155 |
Total Medical Medicare Allowed Amount |
254541.76 |
Total Medical Medicare Payment Amount |
182450.55 |
Total Medical Medicare Standardized Payment Amount |
189887.79 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
368 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
410 |
Number Of Male Beneficiaries |
291 |
Number Of Non Hispanic White Beneficiaries |
573 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
669 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2581 |