National Provider Identifier [NPI]: |
1700174554 |
Last Name Of The Provider |
MEIER |
First Name Of The Provider |
LUCINDA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3610 MICHELLE WITMER MEMORIAL DR |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
NEW BERLIN |
Zip Code Of The Provider |
531515292 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
886 |
Number Of Medicare Beneficiaries |
427 |
Total Submitted Charge Amount |
82593 |
Total Medicare Allowed Amount |
49349.63 |
Total Medicare Payment Amount |
38105.52 |
Total Medicare Standardized Payment Amount |
39094.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
210 |
Total Drug Medicare AllowedAmount |
30.15 |
Total Drug Medicare PaymentAmount |
23.61 |
Total Drug Medicare Standardized Payment Amount |
23.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
869 |
Number Of Medicare Beneficiaries With Medical Services |
427 |
Total Medical Submitted Charge Amount |
82383 |
Total Medical Medicare Allowed Amount |
49319.48 |
Total Medical Medicare Payment Amount |
38081.91 |
Total Medical Medicare Standardized Payment Amount |
39070.92 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
258 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
382 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
392 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5408 |