National Provider Identifier [NPI]: |
1053418020 |
Last Name Of The Provider |
GALIMIDI |
First Name Of The Provider |
MARIA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8614 E STATE ROAD 70 |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BRADENTON |
Zip Code Of The Provider |
342023710 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
2700 |
Number Of Medicare Beneficiaries |
621 |
Total Submitted Charge Amount |
358133.83 |
Total Medicare Allowed Amount |
214337.4 |
Total Medicare Payment Amount |
154682 |
Total Medicare Standardized Payment Amount |
155965.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
135 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
873 |
Total Drug Medicare AllowedAmount |
402.36 |
Total Drug Medicare PaymentAmount |
293.3 |
Total Drug Medicare Standardized Payment Amount |
293.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
2565 |
Number Of Medicare Beneficiaries With Medical Services |
621 |
Total Medical Submitted Charge Amount |
357260.83 |
Total Medical Medicare Allowed Amount |
213935.04 |
Total Medical Medicare Payment Amount |
154388.7 |
Total Medical Medicare Standardized Payment Amount |
155672.35 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
358 |
Number Of Male Beneficiaries |
263 |
Number Of Non Hispanic White Beneficiaries |
551 |
Number Of Black or African American Beneficiaries |
49 |
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 |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7743 |