National Provider Identifier [NPI]: |
1093716524 |
Last Name Of The Provider |
DESIO |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3771 NESCONSET HWY |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
SOUTH SETAUKET |
Zip Code Of The Provider |
117201163 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
4178 |
Number Of Medicare Beneficiaries |
772 |
Total Submitted Charge Amount |
253779.78 |
Total Medicare Allowed Amount |
227117.92 |
Total Medicare Payment Amount |
169601.27 |
Total Medicare Standardized Payment Amount |
146767.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
75 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
840 |
Total Drug Medicare AllowedAmount |
64.38 |
Total Drug Medicare PaymentAmount |
48.14 |
Total Drug Medicare Standardized Payment Amount |
48.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
4103 |
Number Of Medicare Beneficiaries With Medical Services |
772 |
Total Medical Submitted Charge Amount |
252939.78 |
Total Medical Medicare Allowed Amount |
227053.54 |
Total Medical Medicare Payment Amount |
169553.13 |
Total Medical Medicare Standardized Payment Amount |
146719.59 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
730 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
715 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2909 |