National Provider Identifier [NPI]: |
1396707857 |
Last Name Of The Provider |
MEUNIER |
First Name Of The Provider |
ERIK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
81 WILLIMANSETT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH HADLEY |
Zip Code Of The Provider |
010753000 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
6524 |
Number Of Medicare Beneficiaries |
825 |
Total Submitted Charge Amount |
686605.68 |
Total Medicare Allowed Amount |
409634.86 |
Total Medicare Payment Amount |
297736.45 |
Total Medicare Standardized Payment Amount |
291060.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
325.5 |
Total Drug Medicare AllowedAmount |
119.34 |
Total Drug Medicare PaymentAmount |
93.56 |
Total Drug Medicare Standardized Payment Amount |
93.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
6503 |
Number Of Medicare Beneficiaries With Medical Services |
825 |
Total Medical Submitted Charge Amount |
686280.18 |
Total Medical Medicare Allowed Amount |
409515.52 |
Total Medical Medicare Payment Amount |
297642.89 |
Total Medical Medicare Standardized Payment Amount |
290966.93 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
492 |
Number Of Male Beneficiaries |
333 |
Number Of Non Hispanic White Beneficiaries |
726 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
716 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3991 |