National Provider Identifier [NPI]: |
1831186865 |
Last Name Of The Provider |
MCCARTHY |
First Name Of The Provider |
GREGORY |
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 |
2916 HAMILTON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SIOUX CITY |
Zip Code Of The Provider |
511042429 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
4143 |
Number Of Medicare Beneficiaries |
1316 |
Total Submitted Charge Amount |
404408 |
Total Medicare Allowed Amount |
223673.27 |
Total Medicare Payment Amount |
156451.47 |
Total Medicare Standardized Payment Amount |
169336.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
418 |
Total Drug Medicare AllowedAmount |
125.56 |
Total Drug Medicare PaymentAmount |
89.36 |
Total Drug Medicare Standardized Payment Amount |
89.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
4121 |
Number Of Medicare Beneficiaries With Medical Services |
1316 |
Total Medical Submitted Charge Amount |
403990 |
Total Medical Medicare Allowed Amount |
223547.71 |
Total Medical Medicare Payment Amount |
156362.11 |
Total Medical Medicare Standardized Payment Amount |
169247.62 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
283 |
Number Of Beneficiaries Age 75 to 84 |
467 |
Number Of Beneficiaries Age Greater 84 |
464 |
Number Of Female Beneficiaries |
821 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
1277 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1000 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
316 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5097 |