National Provider Identifier [NPI]: |
1255336806 |
Last Name Of The Provider |
GARFIELD |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
213 BULIFANTS BLVD STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
WILLIAMSBURG |
Zip Code Of The Provider |
231885733 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
1275 |
Number Of Medicare Beneficiaries |
419 |
Total Submitted Charge Amount |
141750.72 |
Total Medicare Allowed Amount |
93587.68 |
Total Medicare Payment Amount |
67862.85 |
Total Medicare Standardized Payment Amount |
67806.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
208 |
Total Drug Medicare AllowedAmount |
92.46 |
Total Drug Medicare PaymentAmount |
71.07 |
Total Drug Medicare Standardized Payment Amount |
71.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
1223 |
Number Of Medicare Beneficiaries With Medical Services |
419 |
Total Medical Submitted Charge Amount |
141542.72 |
Total Medical Medicare Allowed Amount |
93495.22 |
Total Medical Medicare Payment Amount |
67791.78 |
Total Medical Medicare Standardized Payment Amount |
67735.68 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
363 |
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 |
392 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2509 |