National Provider Identifier [NPI]: |
1073516498 |
Last Name Of The Provider |
SWAIM |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2530 SISTER MARY COLUMBA |
Street Address 2 Of The Provider |
|
City Of The Provider |
RED BLUFF |
Zip Code Of The Provider |
960804327 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
4665 |
Number Of Medicare Beneficiaries |
905 |
Total Submitted Charge Amount |
414047 |
Total Medicare Allowed Amount |
329845.94 |
Total Medicare Payment Amount |
235493.61 |
Total Medicare Standardized Payment Amount |
231062.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
462 |
Total Drug Medicare AllowedAmount |
376.56 |
Total Drug Medicare PaymentAmount |
272.52 |
Total Drug Medicare Standardized Payment Amount |
272.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
4599 |
Number Of Medicare Beneficiaries With Medical Services |
905 |
Total Medical Submitted Charge Amount |
413585 |
Total Medical Medicare Allowed Amount |
329469.38 |
Total Medical Medicare Payment Amount |
235221.09 |
Total Medical Medicare Standardized Payment Amount |
230790.21 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
271 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
411 |
Number Of Non Hispanic White Beneficiaries |
834 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
726 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2867 |