National Provider Identifier [NPI]: |
1194852707 |
Last Name Of The Provider |
TARZY |
First Name Of The Provider |
MARSHALL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1519 W PATRICK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREDERICK |
Zip Code Of The Provider |
217023724 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
10755 |
Number Of Medicare Beneficiaries |
2037 |
Total Submitted Charge Amount |
580740.68 |
Total Medicare Allowed Amount |
570757.56 |
Total Medicare Payment Amount |
428955.18 |
Total Medicare Standardized Payment Amount |
420735.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
10755 |
Number Of Medicare Beneficiaries With Medical Services |
2037 |
Total Medical Submitted Charge Amount |
580740.68 |
Total Medical Medicare Allowed Amount |
570757.56 |
Total Medical Medicare Payment Amount |
428955.18 |
Total Medical Medicare Standardized Payment Amount |
420735.44 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
334 |
Number Of Beneficiaries Age 75 to 84 |
648 |
Number Of Beneficiaries Age Greater 84 |
929 |
Number Of Female Beneficiaries |
1353 |
Number Of Male Beneficiaries |
684 |
Number Of Non Hispanic White Beneficiaries |
1892 |
Number Of Black or African American Beneficiaries |
108 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
855 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
62 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.0752 |