National Provider Identifier [NPI]: |
1265488043 |
Last Name Of The Provider |
ESAREY |
First Name Of The Provider |
FELIX |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1585 SANTA BARBARA BLVD |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321596820 |
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 |
85 |
Number Of Services |
8475 |
Number Of Medicare Beneficiaries |
1908 |
Total Submitted Charge Amount |
780650.4 |
Total Medicare Allowed Amount |
473432.28 |
Total Medicare Payment Amount |
341787.16 |
Total Medicare Standardized Payment Amount |
343105.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1985 |
Number Of Medicare Beneficiaries With Drug Services |
501 |
Total Drug Submitted ChargeAmount |
87362.78 |
Total Drug Medicare AllowedAmount |
35292.68 |
Total Drug Medicare PaymentAmount |
27506.28 |
Total Drug Medicare Standardized Payment Amount |
27506.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
6490 |
Number Of Medicare Beneficiaries With Medical Services |
1908 |
Total Medical Submitted Charge Amount |
693287.62 |
Total Medical Medicare Allowed Amount |
438139.6 |
Total Medical Medicare Payment Amount |
314280.88 |
Total Medical Medicare Standardized Payment Amount |
315599.35 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
1068 |
Number Of Beneficiaries Age 75 to 84 |
646 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
1159 |
Number Of Male Beneficiaries |
749 |
Number Of Non Hispanic White Beneficiaries |
1850 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1883 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1106 |