National Provider Identifier [NPI]: |
1356340939 |
Last Name Of The Provider |
WORLEY |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7370 TURFWAY RD |
Street Address 2 Of The Provider |
STE 302 |
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
410424895 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
4436 |
Number Of Medicare Beneficiaries |
487 |
Total Submitted Charge Amount |
615816 |
Total Medicare Allowed Amount |
314290.37 |
Total Medicare Payment Amount |
231930.77 |
Total Medicare Standardized Payment Amount |
258838.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
661 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
5885 |
Total Drug Medicare AllowedAmount |
2373.92 |
Total Drug Medicare PaymentAmount |
1807.75 |
Total Drug Medicare Standardized Payment Amount |
1807.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
3775 |
Number Of Medicare Beneficiaries With Medical Services |
487 |
Total Medical Submitted Charge Amount |
609931 |
Total Medical Medicare Allowed Amount |
311916.45 |
Total Medical Medicare Payment Amount |
230123.02 |
Total Medical Medicare Standardized Payment Amount |
257030.3 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
227 |
Number Of Non Hispanic White Beneficiaries |
461 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
390 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.1906 |