National Provider Identifier [NPI]: |
1245226216 |
Last Name Of The Provider |
APPLEMAN |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 DOCTORS PARK |
Street Address 2 Of The Provider |
|
City Of The Provider |
CAPE GIRARDEAU |
Zip Code Of The Provider |
637034927 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
2681 |
Number Of Medicare Beneficiaries |
1025 |
Total Submitted Charge Amount |
245077.19 |
Total Medicare Allowed Amount |
154850.51 |
Total Medicare Payment Amount |
110261.93 |
Total Medicare Standardized Payment Amount |
121424 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
71 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
905.4 |
Total Drug Medicare AllowedAmount |
842.72 |
Total Drug Medicare PaymentAmount |
620.63 |
Total Drug Medicare Standardized Payment Amount |
620.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
2610 |
Number Of Medicare Beneficiaries With Medical Services |
1025 |
Total Medical Submitted Charge Amount |
244171.79 |
Total Medical Medicare Allowed Amount |
154007.79 |
Total Medical Medicare Payment Amount |
109641.3 |
Total Medical Medicare Standardized Payment Amount |
120803.37 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
471 |
Number Of Non Hispanic White Beneficiaries |
975 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
829 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4025 |