National Provider Identifier [NPI]: |
1659521292 |
Last Name Of The Provider |
BALKARAN |
First Name Of The Provider |
JOANNE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
JOANNE BALKARAN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6909 OLD HIGHWAY 441 S |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
MOUNT DORA |
Zip Code Of The Provider |
327577039 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
4982 |
Number Of Medicare Beneficiaries |
971 |
Total Submitted Charge Amount |
618983 |
Total Medicare Allowed Amount |
306976.4 |
Total Medicare Payment Amount |
221347 |
Total Medicare Standardized Payment Amount |
225497.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
54 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
783 |
Total Drug Medicare AllowedAmount |
91.47 |
Total Drug Medicare PaymentAmount |
67.93 |
Total Drug Medicare Standardized Payment Amount |
67.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
4928 |
Number Of Medicare Beneficiaries With Medical Services |
971 |
Total Medical Submitted Charge Amount |
618200 |
Total Medical Medicare Allowed Amount |
306884.93 |
Total Medical Medicare Payment Amount |
221279.07 |
Total Medical Medicare Standardized Payment Amount |
225429.44 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
316 |
Number Of Beneficiaries Age Greater 84 |
279 |
Number Of Female Beneficiaries |
575 |
Number Of Male Beneficiaries |
396 |
Number Of Non Hispanic White Beneficiaries |
890 |
Number Of Black or African American Beneficiaries |
52 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
854 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6604 |