National Provider Identifier [NPI]: |
1316941115 |
Last Name Of The Provider |
GIOVINCO |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1975 HIGHWAY 54 W |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
PEACHTREE CITY |
Zip Code Of The Provider |
302694794 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
3394 |
Number Of Medicare Beneficiaries |
822 |
Total Submitted Charge Amount |
685331.5 |
Total Medicare Allowed Amount |
204678.5 |
Total Medicare Payment Amount |
147750 |
Total Medicare Standardized Payment Amount |
155087.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
196 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
11936 |
Total Drug Medicare AllowedAmount |
3784.06 |
Total Drug Medicare PaymentAmount |
2963.72 |
Total Drug Medicare Standardized Payment Amount |
2963.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
3198 |
Number Of Medicare Beneficiaries With Medical Services |
822 |
Total Medical Submitted Charge Amount |
673395.5 |
Total Medical Medicare Allowed Amount |
200894.44 |
Total Medical Medicare Payment Amount |
144786.28 |
Total Medical Medicare Standardized Payment Amount |
152123.81 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
501 |
Number Of Male Beneficiaries |
321 |
Number Of Non Hispanic White Beneficiaries |
563 |
Number Of Black or African American Beneficiaries |
240 |
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 |
702 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
74 |
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 |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4512 |