National Provider Identifier [NPI]: |
1093916298 |
Last Name Of The Provider |
CUZA |
First Name Of The Provider |
FRANCISCO |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3692 E SAM HOUSTON PKWY S |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
775053137 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
1524 |
Number Of Medicare Beneficiaries |
290 |
Total Submitted Charge Amount |
229663 |
Total Medicare Allowed Amount |
122249.19 |
Total Medicare Payment Amount |
90917.36 |
Total Medicare Standardized Payment Amount |
90194.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
970 |
Total Drug Medicare AllowedAmount |
276.81 |
Total Drug Medicare PaymentAmount |
212.8 |
Total Drug Medicare Standardized Payment Amount |
212.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
1471 |
Number Of Medicare Beneficiaries With Medical Services |
290 |
Total Medical Submitted Charge Amount |
228693 |
Total Medical Medicare Allowed Amount |
121972.38 |
Total Medical Medicare Payment Amount |
90704.56 |
Total Medical Medicare Standardized Payment Amount |
89981.39 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
64 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
111 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
138 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
163 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.6587 |