National Provider Identifier [NPI]: |
1922059724 |
Last Name Of The Provider |
KNAPP |
First Name Of The Provider |
HORST |
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 |
4461 COIT RD |
Street Address 2 Of The Provider |
SUITE 409 |
City Of The Provider |
FRISCO |
Zip Code Of The Provider |
750350526 |
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 |
77 |
Number Of Services |
1070 |
Number Of Medicare Beneficiaries |
183 |
Total Submitted Charge Amount |
201351 |
Total Medicare Allowed Amount |
76361.72 |
Total Medicare Payment Amount |
57105.1 |
Total Medicare Standardized Payment Amount |
60275.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
174 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
13060 |
Total Drug Medicare AllowedAmount |
4444.07 |
Total Drug Medicare PaymentAmount |
3483.72 |
Total Drug Medicare Standardized Payment Amount |
3483.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
896 |
Number Of Medicare Beneficiaries With Medical Services |
183 |
Total Medical Submitted Charge Amount |
188291 |
Total Medical Medicare Allowed Amount |
71917.65 |
Total Medical Medicare Payment Amount |
53621.38 |
Total Medical Medicare Standardized Payment Amount |
56791.65 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
55 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
108 |
Number Of Male Beneficiaries |
75 |
Number Of Non Hispanic White Beneficiaries |
158 |
Number Of Black or African American Beneficiaries |
|
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 |
171 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3341 |