National Provider Identifier [NPI]: |
1558437830 |
Last Name Of The Provider |
WHITE |
First Name Of The Provider |
LEIGH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 25TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MERIDIAN |
Zip Code Of The Provider |
393013916 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
2026 |
Number Of Medicare Beneficiaries |
636 |
Total Submitted Charge Amount |
144320.5 |
Total Medicare Allowed Amount |
84118.81 |
Total Medicare Payment Amount |
57329.85 |
Total Medicare Standardized Payment Amount |
63468.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
760 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
3723.5 |
Total Drug Medicare AllowedAmount |
1349.38 |
Total Drug Medicare PaymentAmount |
953.22 |
Total Drug Medicare Standardized Payment Amount |
953.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1266 |
Number Of Medicare Beneficiaries With Medical Services |
636 |
Total Medical Submitted Charge Amount |
140597 |
Total Medical Medicare Allowed Amount |
82769.43 |
Total Medical Medicare Payment Amount |
56376.63 |
Total Medical Medicare Standardized Payment Amount |
62515.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
272 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
219 |
Number Of Non Hispanic White Beneficiaries |
497 |
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 |
525 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.102 |