National Provider Identifier [NPI]: |
1508851460 |
Last Name Of The Provider |
KNEDGEN |
First Name Of The Provider |
JOSEPH |
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 |
6580 S MCCARRAN BLVD |
Street Address 2 Of The Provider |
SUITE D 1 |
City Of The Provider |
RENO |
Zip Code Of The Provider |
895096140 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
3041 |
Number Of Medicare Beneficiaries |
924 |
Total Submitted Charge Amount |
216879 |
Total Medicare Allowed Amount |
155915.56 |
Total Medicare Payment Amount |
114766.84 |
Total Medicare Standardized Payment Amount |
115616.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
356 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
2114 |
Total Drug Medicare AllowedAmount |
596.97 |
Total Drug Medicare PaymentAmount |
450.63 |
Total Drug Medicare Standardized Payment Amount |
450.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2685 |
Number Of Medicare Beneficiaries With Medical Services |
924 |
Total Medical Submitted Charge Amount |
214765 |
Total Medical Medicare Allowed Amount |
155318.59 |
Total Medical Medicare Payment Amount |
114316.21 |
Total Medical Medicare Standardized Payment Amount |
115165.73 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
246 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
516 |
Number Of Male Beneficiaries |
408 |
Number Of Non Hispanic White Beneficiaries |
812 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
643 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8401 |