National Provider Identifier [NPI]: |
1386682904 |
Last Name Of The Provider |
TROISI |
First Name Of The Provider |
ERNEST |
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 |
2600 GLASGOW AVE |
Street Address 2 Of The Provider |
STE 107 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197024777 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
3229 |
Number Of Medicare Beneficiaries |
776 |
Total Submitted Charge Amount |
361122.5 |
Total Medicare Allowed Amount |
214493.81 |
Total Medicare Payment Amount |
156665.92 |
Total Medicare Standardized Payment Amount |
154425.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
479 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
10690 |
Total Drug Medicare AllowedAmount |
6474.36 |
Total Drug Medicare PaymentAmount |
5053.03 |
Total Drug Medicare Standardized Payment Amount |
5053.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
2750 |
Number Of Medicare Beneficiaries With Medical Services |
776 |
Total Medical Submitted Charge Amount |
350432.5 |
Total Medical Medicare Allowed Amount |
208019.45 |
Total Medical Medicare Payment Amount |
151612.89 |
Total Medical Medicare Standardized Payment Amount |
149372.42 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
229 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
320 |
Number Of Non Hispanic White Beneficiaries |
555 |
Number Of Black or African American Beneficiaries |
180 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
634 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5047 |